Archisand Professional Sand Sculptors, Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

ARCHISAND PROFESSIONAL SAND SCULPTORS, INC

Practice address

24991 Sausalito St
Laguna Hills, CA 92653-5627

Phone

(562) 577-9593

NPI assigned

Feb 3, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Neal Lebon

Title

Ceo

Phone

(562) 577-9593

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1912598731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24991 SAUSALITO ST",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535627",
            "telephone_number": "562-577-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24991 SAUSALITO ST",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535627",
            "telephone_number": "562-577-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHISAND PROFESSIONAL SAND SCULPTORS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "LEBON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-577-9593",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.