Active NPI
Summit Family Health Center of Sherman Oaks
Doing business as Summit Health Center of Sherman Oaks
- Primary Care Clinic/Center
- Sherman Oaks, CA
National Provider Identifier
1952557050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- FNP 1841
- Legal business name
- SUMMIT FAMILY HEALTH CENTER OF SHERMAN OAKS
- Doing business as
- Summit Health Center of Sherman Oaks
- Practice address
- 4849 Van Nuys Blvd
Suite 200
Sherman Oaks, CA 91403-2110 - Phone
- (818) 788-5788
- Fax
- (818) 981-9884
- NPI assigned
- Aug 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Siang Lian Lo, D.O.
- Title
- Ceo
- Phone
- (818) 468-2098
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | FNP 1841 | CA | Primary |
Addresses
Primary practice location
4849 Van Nuys Blvd
Suite 200
Sherman Oaks, CA 91403-2110
Mailing address
4849 Van Nuys Blvd
Suite 200
Sherman Oaks, CA 91403-2110
Phone (818) 788-5788
Other names 1
- Summit Health Center of Sherman Oaks
National Provider Directory
National Provider DirectoryLocations
4849 Van Nuys Blvd
Ste 200
Sherman Oaks, CA 91403
Phone (818) 205-1000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221436800000",
"number": "1952557050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4849 VAN NUYS BLVD",
"address_2": "SUITE 200",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914032110",
"telephone_number": "818-788-5788",
"fax_number": "818-981-9884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4849 VAN NUYS BLVD",
"address_2": "SUITE 200",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914032110",
"telephone_number": "818-788-5788",
"fax_number": "818-981-9884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT FAMILY HEALTH CENTER OF SHERMAN OAKS",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-08",
"last_updated": "2008-09-15",
"status": "A",
"authorized_official_last_name": "LO",
"authorized_official_first_name": "SIANG",
"authorized_official_middle_name": "LIAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-468-2098",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": "FNP 1841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Summit Health Center of Sherman Oaks",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.