Michael D. Landau, M.D., Professional Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

G58711 Issued in CA

Legal business name

MICHAEL D. LANDAU, M.D., PROFESSIONAL CORPORATION

Practice address

6221 Wilshire Blvd
Suite 612
Los Angeles, CA 90048-5201

Phone

(323) 934-9191

Fax

(323) 934-0705

NPI assigned

Jul 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael Dennis Landau, M.D.NPI 1366514358

Title

President

Phone

(323) 934-9191

Specialties & licenses 1

Addresses

Other names 1

• Vein Care Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Michael Dennis Landau, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1366514358
  Medicare reassignment NPD Authorized official
• Craig Chase, PA-C

  • Physician Assistant
  • Walnut, CA
  • NPI 1861699621
  Medicare reassignment
• John Michael Bowman, MD

  • Orthopaedic Surgery Physician
  • Hancock, MI
  • NPI 1760423370
  NPD (past)

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1992960967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD",
            "address_2": "SUITE 612",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485201",
            "telephone_number": "323-934-9191",
            "fax_number": "323-934-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD",
            "address_2": "SUITE 612",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485201",
            "telephone_number": "323-934-9191",
            "fax_number": "323-934-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. LANDAU, M.D., PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "LANDAU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-934-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G58711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vein Care Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.