Leistiko, Laura L.

Leistiko, Laura L. is an sole proprietor health care provider with primary practice located at 2975 Sycamore Dr Emergency Department, Simi Valley CA 93065-1201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Leistiko, Laura L. can be contacted via phone (805) 955-6000.

Contact Information

Primary practice address
2975 Sycamore Dr Emergency Department Simi Valley CA 93065-1201
Phone: (805) 955-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A90865 California

Profile Details

NPI number 1508810185
LBN Legal business name Leistiko, Laura L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated Jul 28th, 2008 - about 17 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 1508810185 NPPES
California MEDICAID 00A908650

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