NPI Code Details Logo

NPI 1700740453

NPI 1700740453 : LIANNA DAMARGI, DDS : LOS ANGELES, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1700740453
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    LIANNA DAMARGI, DDS 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/16/2025
-----------------------------------------------------
    Last Update Date     |    12/16/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2650 GRIFFITH PARK BLVD 
-----------------------------------------------------
    City                 |    LOS ANGELES
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90039-2520
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    323-660-5522
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2650 GRIFFITH PARK BLVD 
-----------------------------------------------------
    City                 |    LOS ANGELES
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90039-2520
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    323-660-5522
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DENTIST
-----------------------------------------------------
    Name                 |     LIANNA  DAMARGI 
-----------------------------------------------------
    Credential           |    DDS
-----------------------------------------------------
    Telephone            |    323-660-5522
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QD0000X
-----------------------------------------------------
    Taxonomy Name        |    Dental Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.