NPIMap

Organization Active NPI

Freedom Laser Therapy, Inc.

  • Other Technician
  • Los Angeles, CA
National Provider Identifier
1801292305
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Legal business name
FREEDOM LASER THERAPY, INC.
Practice address
7815 Beverly Blvd
3Rd FL
Los Angeles, CA 90036-2111
Phone
(323) 933-0304
Fax
(323) 933-0305
NPI assigned
Nov 10, 2014
Last updated
Nov 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Craig Brian Nabat
Title
President
Phone
(323) 933-0304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 247200000X CA Primary

Addresses

Primary practice location

7815 Beverly Blvd
3Rd FL
Los Angeles, CA 90036-2111

Mailing address

7815 Beverly Blvd
3Rd FL
Los Angeles, CA 90036-2111
Phone (323) 933-0304

National Provider Directory

National Provider Directory

Locations

7815 Beverly Blvd
Fl 3
Los Angeles, CA 90036
Phone (323) 933-0304

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1801292305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 BEVERLY BLVD",
            "address_2": "3RD FL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362111",
            "telephone_number": "323-933-0304",
            "fax_number": "323-933-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 BEVERLY BLVD",
            "address_2": "3RD FL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362111",
            "telephone_number": "323-933-0304",
            "fax_number": "323-933-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM LASER THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "NABAT",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-933-0304"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.