Healthcare Provider Details

I. General information

NPI: 1386687440
Provider Name (Legal Business Name): LANA GEYBER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 05/12/2022
Certification Date: 05/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7957 OCEANUS DR
LOS ANGELES CA
90046-2044
US

IV. Provider business mailing address

7957 OCEANUS DR
LOS ANGELES CA
90046-2044
US

V. Phone/Fax

Practice location:
  • Phone: 323-933-3434
  • Fax: 323-850-5254
Mailing address:
  • Phone: 323-528-2090
  • Fax: 323-528-2090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA49805
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: