Landa Mizin Dental Partnership

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

LANDA MIZIN DENTAL PARTNERSHIP

Doing business as

Alameda Oral Surgery Group

Practice address

2625 W Alameda Ave Ste 502
Burbank, CA 91505-4816

Phone

(818) 845-2616

NPI assigned

Oct 11, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Gennady Landa, DDS, MDNPI 1639334212

Title

President

Phone

(818) 845-2616

Specialties & licenses 1

Addresses

Other names 1

• Alameda Oral Surgery Group Doing business as

Locations

Practitioners 1

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

• Gennady Landa, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Lancaster, CA
  • NPI 1639334212
  NPD Authorized official

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1962952127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE STE 502",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054816",
            "telephone_number": "818-845-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE STE 502",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054816",
            "telephone_number": "818-845-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDA MIZIN DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "LANDA",
        "authorized_official_first_name": "GENNADY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-845-2616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alameda Oral Surgery Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Lam, MD
• Myline Lam
• Trinh Lam, PHARMD
• Vivianne Lam
• Brian Michael Lambert
• Erica Jade Landers, DPT
• Landmark Specialty Pharmacy Inc
• Landmark Specialty Pharmacy Inc LTC
• Carsen M Lane
• Kaylan Lane, DC

• Oral and Maxillofacial Surgery (Dentist) in Burbank, CA
• Providers in Burbank, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.