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Contact Information

LARRY J GOTTLIEB INC A PROFESSIONAL CORPORATION
6418 E DEL AMO BLVD
LAKEWOOD, CA90713
 Phone: 562-420-2055
 Fax: 562-420-1784
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for LARRY J GOTTLIEB INC A PROFESSIONAL CORPORATION

NPI # 1013176130
LBN Legal business name LARRY J GOTTLIEB INC A PROFESSIONAL CORPORATION
Authorized official LARRY GOTTLIEB - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2008
Last updated 06/24/2015 - About 11 years ago
Identifiers
CA License # 6451T
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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