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1730347204 NPI number — FRANK LAALY DDS, FICOI

NPI Number: 1730347204
Health Care Provider/Practitioner: FRANK LAALY DDS, FICOI

Information about “1730347204” NPI (FRANK LAALY DDS, FICOI) exists in 1730347204 in HTML format HTML  |  1730347204 in plain Text format TXT  |  1730347204 in PDF (Portable Document Format) PDF  |  1730347204 in an XML format XML  formats.

NPI Number : 1730347204 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730347204",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LAALY",
    "FirstName": "FRANK",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS, FICOI",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LAALY",
    "OtherFirstName": "FARZAN",
    "OtherMiddleName": "FRANK",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DDS",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "442 N LA CIENEGA BLVD STE 208",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEST HOLLYWOOD",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90048-1934",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-714-3691",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "19228 VENTURA BLVD STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TARZANA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91356-3101",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "818-578-5125",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/30/2008",
    "LastUpdateDate": "01/06/2024",
    "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": "1223S0112X",
          "TaxonomyName": "Oral and Maxillofacial Surgery (Dentist)",
          "LicenseNumber": "56900",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "56900",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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