# LEADING MEDICAL GROUP INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275992711
- **Authorized official:** MANI SHOKOUFANDEH DC (PRESIDENT)
- **Authorized official phone:** (818) 703-1511

## Contact information

- **Practice address:** 22110 ROSCOE BLVD, SUITE 304, WEST HILLS, CA 91304-3845
- **Practice address phone:** (818) 703-1511
- **Practice address fax:** (818) 703-9911
- **Mailing address:** 22110 ROSCOE BLVD, SUITE 304, WEST HILLS, CA 91304-3845
- **Mailing address phone:** (818) 703-1511
- **Mailing address fax:** (818) 703-9911

## 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:** 02/11/2016
- **Last updated:** 07/21/2022