Organization
LEADING MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANI SHOKOUFANDEH DC (PRESIDENT)
(818) 703-1511
Entity
Organization
Contact information
Practice address
22110 ROSCOE BLVD, SUITE 304, WEST HILLS, CA 91304-3845
(818) 703-1511
(818) 703-9911
Mailing address
22110 ROSCOE BLVD, SUITE 304, WEST HILLS, CA 91304-3845
(818) 703-1511
(818) 703-9911
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
02/11/2016
Last updated
07/21/2022
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