Lido Medical Services

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LIDO MEDICAL SERVICES

Practice address

1351 Logan Ave Unit C
Costa Mesa, CA 92626-4006

Phone

(714) 381-5140

NPI assigned

Nov 6, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Darryl ShinderNPI 1770951436

Title

Ceo

Phone

(714) 381-5140

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darryl Shinder

  • Counselor
  • Costa Mesa, CA
  • NPI 1770951436
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1780057133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 LOGAN AVE UNIT C",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264006",
            "telephone_number": "714-381-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 LOGAN AVE UNIT C",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264006",
            "telephone_number": "714-381-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIDO MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "SHINDER",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-381-5140",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Insun-Choi Li, LMFT
• Coco Liang
• Yvette Grace Liberty, REGISTERED NURSE
• Daniel Nico Libor, SUDCC
• Nicole Libreros
• Lifelines Counseling & Family Services, Inc.
• Piper Celeste Lillehoff, M.D.
• Douglas W Lim, D.M.D.
• Qian Hui Lim
• Sokpheap Lim

• Clinical Medical Laboratory in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.