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
Phone: (310) 876-1579
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851356109 | NPPES |
California | MEDICAID | 000E21590 |
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