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General NPI Number Information
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NPI Number | 1003918996
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Entity Type | Organization
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Legal Business Name | SIMON LAVI, D.O.
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7700 IMPERIAL HWY SUITE R
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City | DOWNEY
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State | CA
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Zip | 90242-3469
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Country | US
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Telephone | 562-803-0600
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Fax | 562-401-4307
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Provider Business Mailing Address
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Address Line | 7700 IMPERIAL HWY SUITE R
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City | DOWNEY
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State | CA
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Zip | 90242-3469
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Country | US
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Telephone | 562-803-0600
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Fax | 562-401-4307
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Authorized Official
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Title or Position | OWNER
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Name | SIMON LAVI
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Credential |
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Telephone | 562-803-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 20A7777
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 20A7777
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 20A7777
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 20A7777
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License Number State | CA
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