MEDICARE: MRS. ALICIA ZABELLA LAANO MD

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	207Q00000X	Family Medicine Physician	A30080	CA
2	208000000X	Pediatrics Physician	A30080	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	W6544A	OTHER	CA	MEDICARE ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00A300800	OTHER	CA	MEDICAL PROVIDER
3	8814330	OTHER	CA	MEDICAL PIN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124297957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALICIA ZABELLA LAANO MD

Provider Business Mailing Address
First Line	:	2228 WEST 7TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057
Country	:	US
Telephone Number	:	213-383-5773
Fax Number	:	213-383-5783

Provider Business Practice Location Address
First Line	:	2228 WEST 7TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057
Country	:	US
Telephone Number	:	213-383-5773
Fax Number	:	213-383-5783

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2008
Last Update Date	:	04/10/2008

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