DR. SHANNON H. LAZARIAN (NPI# 1043451735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043451735 |
Entity Type | Individual |
Full Name | DR. SHANNON H. LAZARIAN |
Credential | DDS |
Practice Address |
6269 Charonoak Pl San Gabriel CA 91775 |
Mailing Address |
14445 Olive View Dr Sylmar CA 91342-1437 |
Practice Telephone | 2663182928 |
Mailing Telephone | 8183644350 |
Enumeration Date | 2009-03-10 |
Last Update Date | 2018-07-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
58611 | CA | Dental Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
6269 CHARONOAK PL |
City | SAN GABRIEL |
State | CA |
Zip Code | 91775 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609077635 | Premier Physician Alliance | Health Maintenance Organization | 30125 West Agoura Road #200, Agoura Hills, CA 91775 | 2007-05-29 |
1851463178 | Robert S.y. Cheng | Obstetrics & Gynecology | 209 N Delmar Ave, San Gabriel, CA 91775 | 2006-11-14 |
1225428394 | Raymond Juarez Jr. | Behavioral Analyst | 9060 Huntington Dr, San Gabriel, CA 91775 | 2015-01-28 |
1467085688 | Jessica Kuo | Student in an Organized Health Care Education/Training Program | 6909 Ferncroft Ave, San Gabriel, CA 91775-1001 | 2020-02-17 |
1821407370 | Jennifer Chuang | Acupuncturist | 6948 Ferncroft Ave, San Gabriel, CA 91775-1002 | 2014-08-08 |
1801999255 | Joseph Y Wu | Internal Medicine | 6714 Provence Road, San Gabriel, CA 91775-1030 | 2006-09-07 |
1881849362 | A.l. U.S./san Gabriel Senior Housing, L.p. | Assisted Living Facility | 8332 Huntington Dr, San Gabriel, CA 91775-1038 | 2008-11-25 |
1285710806 | Luanne E Cabrera | Psychologist | 8346 Duarte Rd, San Gabriel, CA 91775-1048 | 2006-10-27 |
1912119470 | Toni Chen | Dentist | 8204 Huntington Dr, Suite B, San Gabriel, CA 91775-1053 | 2007-05-04 |
1841301975 | Social Vocational Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6858 La Presa Dr, San Gabriel, CA 91775-1110 | 2006-08-31 |
Find all providers in zip 91775 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750862660 | Stephanie Chen | Dentist | 1120 S San Gabriel Blvd Ste 100, San Gabriel, CA 91776-3160 | 2018-08-28 |
1477044345 | Ethan C.a. Lee Dental Inc. | Dentist | 314 W. Valley Blvd, San Gabriel, CA 91776 | 2018-05-25 |
1700301728 | David C Yang | Dentist | 1324 S Gladys Ave, San Gabriel, CA 91776-3624 | 2017-08-10 |
1316333156 | David S Lee | Dentist | 801 E Valley Blvd Ste 205, San Gabriel, CA 91776-3697 | 2015-04-08 |
1083013288 | David Te Fu Kuo | Dentist | 921 S San Gabriel Blvd, San Gabriel, CA 91776-2743 | 2014-08-14 |
1376951509 | Pay-jiuan Chang, D.d.d., Inc. | Dentist | 1045 E. Valley Blvd., A 207, San Gabriel, CA 91776 | 2014-07-31 |
1598074981 | Jeffrey Jinwoo Rho | Dentist | 8900 Greenwood Ave, San Gabriel, CA 91775-1247 | 2010-10-01 |
1336472414 | Eric L Bischoff | Dentist | 612 Adelyn Dr, San Gabriel, CA 91775-2802 | 2009-09-08 |
1578713582 | Ruey Liao | Dentist | 1822 S San Gabriel Blvd, San Gabriel, CA 91776-3930 | 2008-09-26 |
1770730947 | Romarico N. Galvan Dmd Inc. | Dentist | 633 S San Gabriel Blvd, #110, San Gabriel, CA 91776-2754 | 2008-08-19 |
Find all providers in SAN GABRIEL |
City | SAN GABRIEL |
Zip Code | 91775 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.