1942451638 NPI number — ASMATH NOOR DDS A PROFESSIONAL

Table of content: DR. LAUREN KARA YEAZELL M.D. (NPI 1962536268)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942451638 NPI number — ASMATH NOOR DDS A PROFESSIONAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASMATH NOOR DDS A PROFESSIONAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1942451638
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/28/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11274 E. FIRESTONE BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORWALK
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90650
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
562-863-8600
Provider Business Mailing Address Fax Number:
562-863-8393

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11274 FIRESTONE BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORWALK
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90650
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-863-8600
Provider Business Practice Location Address Fax Number:
562-863-8393
Provider Enumeration Date:
10/01/2008

Additional Information

Authorized Official

Authorized Official Last Name:
NOOR
Authorized Official First Name:
ASMATH
Authorized Official Middle Name:
S
Authorized Official Title or Position:
DENTIST
Authorized Official Telephone Number:
562-863-8600

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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