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LAN SU DMD PHD
NPI 1164472353
Dentist - Oral and Maxillofacial Pathology in Westlake Village, CA

Active since May 11, 2006
31332 VIA COLINAS, SUITE 109, WESTLAKE VILLAGE, CA 91362(818) 865-1039(818) 865-8375 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lan Su Dmd Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAN SU DMD PHD (NPI 1164472353) is a healthcare organization registered as an oral and maxillofacial pathology in Westlake Village, California and active in the NPI registry since May 2006. The organization lists Lan Su, Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1164472353
Entity TypeOrganization
Primary Taxonomy1223P0106X
Legal Business NameLAN SU DMD PHD
Location Address31332 VIA COLINAS, SUITE 109Westlake Village, CA 91362-3910
Mailing Address31332 Via Colinas, Suite 109Westlake Village, CA 91362-3910 · (818) 865-1039 · Fax (818) 865-8375
Phone(818) 865-1039
Fax(818) 865-8375
Organization SubpartNo
Authorized OfficialLan SuOwner Doctor · (818) 865-1039
Enumeration DateMay 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164472353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in CA · 46977
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
31332 VIA COLINAS, Westlake Village, CA 91362
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D1010973

Lan Su Dmd Phd · Westlake Village, CA
Expired · Jun 30, 2026
CLIA Number05D1010973
Laboratory TypeIndependent
Certificate Effective DateMarch 29, 2022
Certificate Expiration DateJune 30, 2026
Laboratory DirectorLan Su, Dmd, Phd
Laboratory Phone(818) 865-1039
Laboratory LocationLan Su Dmd Phd31332 Via Colinas, Ste 109, Westlake Village, CA 91362
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lan Su Dmd Phd's NPI number?

The NPI number for Lan Su Dmd Phd is 1164472353. It was assigned to this organization in the NPPES registry on May 11, 2006.

Where is Lan Su Dmd Phd located?

Lan Su Dmd Phd is located at 31332 Via Colinas Suite 109, Westlake Village, CA 91362. The listed phone number is (818) 865-1039.

What is Lan Su Dmd Phd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

When was this NPI record last updated?

The NPPES record for Lan Su Dmd Phd was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.