La Vail

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LA VAIL

Practice address

1021 Pacific Coast Hwy
Seal Beach, CA 90740-6214

Phone

(562) 596-1452

Fax

(562) 493-2472

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sherill A Radtke

Title

Owner

Phone

(562) 596-1452

Specialties & licenses 1

Addresses

Other names 1

• NONE Other name

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1811013642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 PACIFIC COAST HWY",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406214",
            "telephone_number": "562-596-1452",
            "fax_number": "562-493-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 PACIFIC COAST HWY",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406214",
            "telephone_number": "562-596-1452",
            "fax_number": "562-493-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA VAIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "RADTKE",
        "authorized_official_first_name": "SHERILL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-596-1452",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Winifred Kordich, M.A. MFT
• Kyle Kurata, DPT, PT
• Alyne Kuyumjian, BCBA
• Brooke Ellen Kuzmic, LVN
• L. Wayne Freeman M.D., Inc
• Michael Lafkas, MD
• Grace Lally
• Paulina Laurent, CERTIFIED KHMER INT
• Michael Eugene Lawlor, DDS
• Gale Lawrence, M.D.

• Durable Medical Equipment & Medical Supplies in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.