Individual
DR. LEONIDAS VOLTAIRE SISON MEJIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4075 WHITTIER BLVD, LOS ANGELES, CA 90023-2525
(323) 264-4924
Mailing address
13849 SAN ANTONIO AVE, CHINO, CA 91710-7428
(909) 591-9724
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A80800
CA
208D00000X
General Practice Physician
Primary
A80800
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A808000
—
CA
01
—
WA80800D
MEDICARE
CA
Enumeration date
08/31/2006
Last updated
09/10/2008
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