Organization Active NPI

Lawrence S Greenberg M.D. a Professional Corp

  • Urology Physician
  • San Pedro, CA
National Provider Identifier
1992099733
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G19929 Issued in CA
Legal business name
LAWRENCE S GREENBERG M.D. A PROFESSIONAL CORP
Practice address
1360 W 6TH St Ste 185
San Pedro, CA 90732-3536
Phone
(310) 832-2697
Fax
(310) 832-0662
NPI assigned
Jun 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Authorized official

Name
Dr. Lawrence S. Greenberg, M.D.
Title
Owner
Phone
(310) 832-2697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X G19929 CA Primary

Addresses

Primary practice location

1360 W 6TH St Ste 185
San Pedro, CA 90732-3536

Mailing address

1360 W 6TH St Ste 185
San Pedro, CA 90732-3536
Phone (310) 832-2697

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1992099733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST STE 185",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323536",
            "telephone_number": "310-832-2697",
            "fax_number": "310-832-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST STE 185",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323536",
            "telephone_number": "310-832-2697",
            "fax_number": "310-832-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE S GREENBERG M.D. A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-832-2697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "G19929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.