1598894370 NPI number — MS. LORI SUSAN LOEBNER B.A.

Table of content: MS. LORI SUSAN LOEBNER B.A. (NPI 1598894370)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598894370 NPI number — MS. LORI SUSAN LOEBNER B.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LOEBNER
Provider First Name:
LORI
Provider Middle Name:
SUSAN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
B.A.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598894370
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/10/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12450 VAN NUYS BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PACOIMA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91331-1391
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-896-1161
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12450 VAN NUYS BLVD
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
PACOIMA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91331-1391
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-896-1161
Provider Business Practice Location Address Fax Number:
818-896-5069
Provider Enumeration Date:
03/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7068 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7420 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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