Individual
LEIA RISPOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4551 GLENCOE AVE STE 145, MARINA DEL REY, CA 90292-6385
(310) 405-0595
(310) 997-2766
Mailing address
PO BOX 3129, TORRANCE, CA 90510-3129
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
A160496
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
A160496
CA
Other
Enumeration date
04/19/2014
Last updated
06/09/2023
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