Provider Demographics
NPI:1902040108
Name:JASON LAHMANI, DDS, INC
Entity Type:Organization
Organization Name:JASON LAHMANI, DDS, INC
Other - Org Name:FIGUEROA & SLAUSON DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:LAHMANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:323-750-0030
Mailing Address - Street 1:5801 S FIGUEROA ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90003-1016
Mailing Address - Country:US
Mailing Address - Phone:323-750-0030
Mailing Address - Fax:
Practice Address - Street 1:5801 S FIGUEROA ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90003-1016
Practice Address - Country:US
Practice Address - Phone:323-750-0030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARING BEAR DENTAL GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-01
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1548430150Medicaid
CA1154585677Medicaid