Advanced California Dental Clinic Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ADVANCED CALIFORNIA DENTAL CLINIC INC

Practice address

1125 S Beverly Dr Ste 750a
Los Angeles, CA 90035-1130

Phone

(310) 734-7705

NPI assigned

Jun 1, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Lasry, DDSNPI 1639781966

Title

Dentist

Phone

(424) 362-6280

Specialties & licenses 1

Addresses

Other names 1

• Lasry Dental Clinic Other name

Locations

Practitioners 2

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

• Samuel Frederic Lasry, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1639781966
  NPD (past) Authorized official
• Navid Esfandi, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1316542798
  NPD

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1902472848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR STE 750A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351130",
            "telephone_number": "310-734-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR STE 750A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351130",
            "telephone_number": "310-734-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CALIFORNIA DENTAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "LASRY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "424-362-6280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lasry Dental Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dental Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.