Organization
LEO INDIANER M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO INDIANER M.D. (OWNER)
(818) 788-5216
Entity
Organization
Contact information
Practice address
23403 LYONS AVENUE, PMB 178, VALENCIA, CA 91355
(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
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/09/2007
Last updated
09/26/2007
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