Healthcare Provider Details

I. General information

NPI: 1972564201
Provider Name (Legal Business Name): LAWRENCE S.C. CZER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 07/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD
WEST HOLLYWOOD CA
90048-1804
US

IV. Provider business mailing address

127 S. SAN VICENTE BLVD
LOS ANGELES CA
90048
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-3851
  • Fax: 310-423-3522
Mailing address:
  • Phone: 310-423-3851
  • Fax: 310-423-3522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberG37782
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License NumberG37782
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: