NPI Code Detail JSON Logo

1093094427 NPI number — DAVID BENJAMIN LALEZARI MD

NPI Number: 1093094427
Health Care Provider/Practitioner: DAVID BENJAMIN LALEZARI MD

Information about “1093094427” NPI (DAVID BENJAMIN LALEZARI MD) exists in 1093094427 in HTML format HTML  |  1093094427 in plain Text format TXT  |  1093094427 in PDF (Portable Document Format) PDF  |  1093094427 in an XML format XML  formats.

NPI Number : 1093094427 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093094427",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LALEZARI",
    "FirstName": "DAVID",
    "MiddleName": "BENJAMIN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 251247",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90025-9747",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-430-4000",
    "MailingAddressFaxNumber": "310-363-7046",
    "FirstLinePracticeLocationAddress": "8737 BEVERLY BLVD STE 301",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WEST HOLLYWOOD",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90048-1839",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "323-765-1500",
    "PracticeLocationAddressFaxNumber": "310-363-7046",
    "EnumerationDate": "08/16/2011",
    "LastUpdateDate": "01/09/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207R00000X",
        "TaxonomyName": "Internal Medicine Physician",
        "LicenseNumber": "A117709",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.