Individual
LEO MASCARENHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
127 S SAN VICENTE BLVD FL 7, LOS ANGELES, CA 90048-3311
(310) 423-4423
(310) 423-4131
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 423-4423
(310) 423-4131
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A54324
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A543240 G15
CAL OPTIMA
CA
05
—
00A54324A
—
CA
Enumeration date
09/22/2006
Last updated
07/23/2025
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