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:
Health care specialties
| Specialty | Code | License # | 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 16 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 | 1508810185 | NPPES |
| California | MEDICAID | 00A908650 |
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