Individual
LEONARDO O GRANADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(323) 226-7792
(323) 226-4150
Mailing address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(323) 226-7792
(323) 226-4150
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA17904
CA
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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