Organization Active NPI

Lauren Swerdloff, MD a Medical Professional Corp

  • Medical Specialty Clinic/Center
  • Santa Monica, CA
National Provider Identifier
1861643900
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
G67752 Issued in CA
Legal business name
LAUREN SWERDLOFF, MD A MEDICAL PROFESSIONAL CORP
Practice address
1821 Wilshire Blvd Ste 220
Santa Monica, CA 90403-5627
Phone
(310) 829-5189
Fax
(310) 829-5942
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Lauren Ciel Swerdloff, MDNPI 1952447609
Title
President
Phone
(310) 829-5189

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X G67752 CA Primary

Addresses

Primary practice location

1821 Wilshire Blvd Ste 220
Santa Monica, CA 90403-5627

Mailing address

1821 Wilshire Blvd Ste 220
Santa Monica, CA 90403-5627
Phone (310) 829-5189

Other identifiers 1

IdentifierTypeStateIssuer
00G677520MedicaidCA

National Provider Directory

National Provider Directory

Locations

11704 Wilshire Blvd
Ste 200
Los Angeles, CA 90025
Phone (310) 458-9200

1821 Wilshire Blvd
Ste 220
Santa Monica, CA 90403
Phone (310) 829-5189

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1861643900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 WILSHIRE BLVD STE 220",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035627",
            "telephone_number": "310-829-5189",
            "fax_number": "310-829-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 WILSHIRE BLVD STE 220",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035627",
            "telephone_number": "310-829-5189",
            "fax_number": "310-829-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN SWERDLOFF, MD A MEDICAL PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "SWERDLOFF",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "CIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-829-5189",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G67752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G677520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.