Organization
LEO INDIANER, MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO INDIANER M.D. (OWNER)
6618187885216
Entity
Organization
Contact information
Practice address
23403 LYONS AVE, PMB 178, VALENCIA, CA 91355-3028
(661) 799-0368
(661) 799-0368
Mailing address
16260 VENTURA BLVD, SUITE 515, ENCINO, CA 91436-2203
(818) 788-5216
(818) 788-2702
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C25642
CA
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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