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1548011174 NPI number — MIGSAL LHAMO ANDRUGTSANG

NPI Number: 1548011174
Health Care Provider/Practitioner: MIGSAL LHAMO ANDRUGTSANG

Information about “1548011174” NPI (MIGSAL LHAMO ANDRUGTSANG) exists in 1548011174 in HTML format HTML  |  1548011174 in plain Text format TXT  |  1548011174 in PDF (Portable Document Format) PDF  |  1548011174 in an XML format XML  formats.

NPI Number : 1548011174 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548011174",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANDRUGTSANG",
    "FirstName": "MIGSAL",
    "MiddleName": "LHAMO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "21601 AVALON BLVD APT 228",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CARSON",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90745-2349",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "347-761-8490",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "612 E CARSON ST STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CARSON",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90745-2896",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-469-9355",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/01/2024",
    "LastUpdateDate": "08/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "111958",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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