Knudson, James Leonard

Knudson, James Leonard is an individual health care provider with primary practice located at 9808 Venice Blvd Ste 600 , Culver City CA 90232-6807. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Knudson, James Leonard can be contacted via phone (310) 876-1579.

Contact Information

Primary practice address
9808 Venice Blvd Ste 600 Culver City CA 90232-6807
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E2159 California
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E2159 California

Profile Details

NPI number 1851356109
LBN Legal business name Knudson, James Leonard
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Feb 26th, 2021 - about 3 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 1851356109 NPPES
California MEDICAID 000E21590

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