MEDICARE: DLL PEDIATRICS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1033063599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DLL PEDIATRICS, INC.

Provider Business Mailing Address
First Line	:	11870 SANTA MONICA BLVD STE 106395
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-2276
Country	:	US
Telephone Number	:	310-979-7337
Fax Number	:

Provider Business Practice Location Address
First Line	:	12301 WILSHIRE BLVD STE 120
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-1099
Country	:	US
Telephone Number	:	310-979-7337
Fax Number	:	310-979-7338

Authorized Official
Title or Position	:	PEDIATRICIAN
Name	:	LAURA LEWIS
Credential	:	MD
Telephone Number	:	310-979-7337

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	02/23/2026

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