MEDICARE: LAWRENCE D PIRO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	G52155	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	W15185	OTHER	CA	MEDICARE PTAN - FACILITY
3	W15185A	OTHER	CA	MEDICARE PTAN - FACILITY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	G52155	OTHER	CA	MEDICAL LICENSE

General Provider Information

NPI Number	:	1124131446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAWRENCE D PIRO M.D.

Provider Business Mailing Address
First Line	:	2001 SANTA MONICA BLVD
Second Line	:	SUITE 560W
City	:	SANTA MONICA
State	:	CA
Zip	:	90404-2102
Country	:	US
Telephone Number	:	310-582-7900
Fax Number	:	310-582-7946

Provider Business Practice Location Address
First Line	:	11800 WILSHIRE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-6602
Country	:	US
Telephone Number	:	310-231-2121
Fax Number	:	310-231-2199

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	10/30/2024

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Directions to “ LAWRENCE D PIRO M.D.” Practice Location

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