# LEIA RISPOLI MD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Leia Rispoli MD, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164183331
- **Authorized official:** DR. LEIA RISPOLI MD (OWNER)
- **Authorized official phone:** (310) 405-0595

## Contact information

- **Practice address:** 4551 GLENCOE AVE STE 145, MARINA DEL REY, CA 90292-6385
- **Practice address phone:** (310) 405-0595
- **Practice address fax:** (310) 997-2766
- **Mailing address:** PO BOX 3129, TORRANCE, CA 90510-3129
- **Mailing address phone:** (310) 792-3914
- **Mailing address fax:** (855) 898-4055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2022
- **Last updated:** 06/09/2023