1841262193 NPI number — MR. LORNE SHELDON LABEL MD MBA

Table of content: MR. LORNE SHELDON LABEL MD MBA (NPI 1841262193)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841262193 NPI number — MR. LORNE SHELDON LABEL MD MBA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LABEL
Provider First Name:
LORNE
Provider Middle Name:
SHELDON
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MD MBA
Provider Gender Code:
M

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:
1841262193
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/24/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2100 LYNN RD
Provider Second Line Business Mailing Address:
STE 230, TO DR LABELS OFFICE ONLY
Provider Business Mailing Address City Name:
THOUSAND OAKS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91360
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-497-4500
Provider Business Mailing Address Fax Number:
805-495-1717

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2100 LYNN RD
Provider Second Line Business Practice Location Address:
STE 230
Provider Business Practice Location Address City Name:
THOUSAND OAKS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91360
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-497-4500
Provider Business Practice Location Address Fax Number:
805-495-1717
Provider Enumeration Date:
02/02/2006

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: 2084N0400X , with the licence number:  G47623 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 00G476230 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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