NPI Code Detail JSON Logo

1700297249 NPI number — GALYA RAZ D.M.D.

NPI Number: 1700297249
Health Care Provider/Practitioner: GALYA RAZ D.M.D.

Information about “1700297249” NPI (GALYA RAZ D.M.D.) exists in 1700297249 in HTML format HTML  |  1700297249 in plain Text format TXT  |  1700297249 in PDF (Portable Document Format) PDF  |  1700297249 in an XML format XML  formats.

NPI Number : 1700297249 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700297249",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RAZ",
    "FirstName": "GALYA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "15708 POMERADO RD # N104",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "POWAY",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92064-2066",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "858-485-1180",
    "MailingAddressFaxNumber": "858-485-1426",
    "FirstLinePracticeLocationAddress": "15708 POMERADO RD # N104",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "POWAY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92064",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "858-485-1180",
    "PracticeLocationAddressFaxNumber": "858-485-1426",
    "EnumerationDate": "05/19/2014",
    "LastUpdateDate": "11/21/2019",
    "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": "1223P0300X",
          "TaxonomyName": "Periodontics",
          "LicenseNumber": "S4-106",
          "LicenseNumberStateCode": "NV",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "63404",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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