Organization
888 MEDICAL CLINIC & SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LELAND DAO D.O. (PHYSICIAN)
(310) 844-6751
Entity
Organization
Contact information
Practice address
16661 VENTURA BLVD STE 703, ENCINO, CA 91436-4815
(310) 844-6751
Mailing address
16661 VENTURA BLVD STE 703, ENCINO, CA 91436-4815
(310) 844-6751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A16238
CALIFORNIA OSTEOPATHIC LICENSE
CA
Enumeration date
09/07/2023
Last updated
09/27/2023
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