Individual
MR. JUAN IGNACIO WEI LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(833) 574-2273
Mailing address
1464 S MEEKER AVE, WEST COVINA, CA 91790-3206
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
800839
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001204
CA
Other
Enumeration date
09/16/2019
Last updated
10/15/2019
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