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NPI Code Detail

MEDICARE: LASCANO AND ASSOCIATES MEDICAL CORPORATION

MEDICARE: LASCANO AND ASSOCIATES MEDICAL CORPORATION
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
1208600000XSurgery Physician

General Provider Information

NPI Number : 1699624148
Entity Type Code : Organization
Provider Name (Legal Business Name) : LASCANO AND ASSOCIATES MEDICAL CORPORATION
Provider Business Mailing Address
First Line : 440 N BARRANCA AVE # 8296
Second Line :
City : COVINA
State : CA
Zip : 91723-1722
Country : US
Telephone Number : 201-328-5308
Fax Number :
Provider Business Practice Location Address
First Line : 2755 HERNDON AVE
Second Line :
City : CLOVIS
State : CA
Zip : 93611-6800
Country : US
Telephone Number : 559-324-4000
Fax Number :
Authorized Official
Title or Position : CEO
Name : DANNY LASCANO
Credential : MD
Telephone Number : 201-328-5308
Provider Enumeration Date : 01/27/2026
Last Update Date : 02/12/2026

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