Laura Vy Van, D.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DDS101147 Issued in CA

Practice address

3932 Wilshire Blvd Ste 200
Los Angeles, CA 90010-3307

Phone

(213) 386-3336

NPI assigned

Jan 29, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: laura.van.p1@direct.wcchc.nextgenshare.com

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1952769465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 HILGARD AVE APT 1201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243002",
            "telephone_number": "714-272-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3932 WILSHIRE BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103307",
            "telephone_number": "213-386-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "LAURA",
        "middle_name": "VY",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "DDS101147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992892616",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Walter Van, MD
• Chris Hung Van
• Cornelius Van, COUNSELOR
• Ha D Van, STUDENT TRAINEE
• Jay Jeong Woo Van, NP
• Stephanie Van
• Tri Minh Van
• Richard J Vanallan, MD
• Mary Ann Vanamburg, PH.D.
• Vincent Vanantwerp

• Pediatric Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.