Indianer, Leo

Indianer, Leo is an individual health care provider with primary practice located at 16260 Ventura Blvd #515, Encino CA 91436. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Indianer, Leo can be contacted via phone (818) 788-5216.

Contact Information

Primary practice address
16260 Ventura Blvd #515 Encino CA 91436
Phone: (818) 788-5216
Fax: (818) 788-2702
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X C25642 California
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X C25642 California

Profile Details

NPI number 1710075858
LBN Legal business name Indianer, Leo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Feb 28th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710075858 NPPES
California MEDICAID ZZZ59180Z

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