Lisa Nicole Gantz
M.D. | Pediatrics | Female
Lisa Nicole Gantz, M.D. is a West Hollywood, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Lisa Nicole Gantz is
8700 Beverly Blvd, West Hollywood, California - 90048-1804. She can be contacted on phone at
310-423-4780 and fax number 310-423-0145.
Lisa Nicole Gantz is a sole proprietor of her business.
NPI number (Unique professional ID) for Lisa Nicole Gantz is
1679968887 which was assigned by NPPES on 03 Apr, 2015 and it was last updated on 03 Jul, 2019.
Lisa Nicole Gantz license number is
A145424 for Pediatrics (208000000X) in California.
Lisa Nicole Gantz is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Lisa Nicole Gantz basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Lisa Nicole Gantz |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Lisa Nicole Gantz address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 8700 Beverly Blvd
West Hollywood, CA, 90048-1804
United States |
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| Phone Number : | 310-423-4780 |
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| Fax Number : | 310-423-0145 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1679968887 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Apr, 2015 |
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| Last Updated On : | 03 Jul, 2019 |
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Medicare Participation:
Lisa Nicole Gantz participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 2062754443 |
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| Medicare Enrollment ID : | I20190506000738 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2016 |
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| Accepts Medicare? | Yes. Lisa Nicole Gantz accepts medicare insurance. |
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Group Practice Association:
Lisa Nicole Gantz is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Lisa Nicole Gantz is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| County Of Los Angeles | 1850296534 | 298 | 335 E Ave I
Lancaster, CA - 935351916
Ph: 6614714232 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa Nicole Gantz are as mentioned. Primary taxonomy code for Lisa Nicole Gantz, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 207R00000X | Internal Medicine | No | 145424 | CA |
| 208000000X | Pediatrics | Yes | A145424 | CA |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | CA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 512717
Los Angeles, CA, 90051-0717
United States |
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Business Location:
Patients can refer following map for directions to
Lisa Nicole Gantz practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.