Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Nicole Gantz, MD

Individual provider Internal Medicine Physician · NPI 1679968887

Lisa Nicole Gantz, MD is a Pediatric Medicine in West Hollywood, California. Qualified in 2016, 10 years ago. Practices with County of Los Angeles, a 390-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone: (310) 423-4780
Fax: (310) 423-0145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A145424 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 145424 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1679968887
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2015
Last updated in NPPESJuly 3, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice County Of Los Angeles — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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