COASTAL ORTHODONTIC CARE II – NPI #1740325836
Clinic/Center

COASTAL ORTHODONTIC CARE II is an AHC clinic located in VENTURA, CA. NPPES has assigned the NPI number 1740325836 to COASTAL ORTHODONTIC CARE II on February 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COASTAL ORTHODONTIC CARE II” is a dba name, the actual legal business name for this organization is LAUTT & ILAPOGU A PROFESSIONAL DENTAL CORPORATION. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COASTAL ORTHODONTIC CARE II below.

NPI Profile for
LAUTT & ILAPOGU A PROFESSIONAL DENTAL CORPORATION

NPI Number
1740325836
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAUTT & ILAPOGU A PROFESSIONAL DENTAL CORPORATION
Doing Business As (dba): COASTAL ORTHODONTIC CARE II
Primary location
1730 S VICTORIA AVE STE 250
VENTURA, CA 93003-6167
Phone: (805) 650-1080 Fax: (805) 650-1087
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ADAM LAUTT
PRESIDENT
Phone: (805) 650-1080
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.