Individual
MR. DAVID CHARLES LEIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1308 FACTORY PL, #404, LOS ANGELES, CA 90013-2252
(213) 973-7670
Mailing address
1308 FACTORY PL, #404, LOS ANGELES, CA 90013-2252
(213) 973-7670
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A1122001
CA
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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