Individual
DR. ELISA LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1831 STANFORD ST STE 108, SANTA MONICA, CA 90404-4117
(323) 252-2864
Mailing address
PO BOX 93129, LOS ANGELES, CA 90093-0129
(323) 252-5864
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY28330
CA
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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