Individual
DR. LEONARD V. PETRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Contact information
Practice address
100 W CALIFORNIA BLVD, PASADENA, CA 91105-3010
(626) 397-5139
(626) 397-2190
Mailing address
223 N 1ST AVE STE 101, ARCADIA, CA 91006-7027
(626) 698-7246
(626) 698-7169
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
A52292
CA
2085N0904X
Nuclear Radiology Physician
A52292
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A52292
CA
2085R0204X
Vascular & Interventional Radiology Physician
A52292
CA
2085U0001X
Diagnostic Ultrasound Physician
A52292
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A522920
—
CA
01
—
300116805
RAILROAD MEDICARE
CA
Enumeration date
10/21/2005
Last updated
12/17/2025
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