Mascarenhas, Leo
Mascarenhas, Leo is an individual health care provider with primary practice located at 127 S San Vicente Blvd Fl 7 , Los Angeles CA 90048-3311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Mascarenhas, Leo can be contacted via phone (310) 423-4423.Contact Information
Primary practice address
127 S San Vicente Blvd Fl 7
Los Angeles CA 90048-3311
Phone: (310) 423-4423
Fax: (310) 423-4131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | A54324 | California |
Profile Details
| NPI number | 1417057225 |
|---|---|
| LBN Legal business name | Mascarenhas, Leo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Dec 18th, 2023 - about 2 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 | 1417057225 | NPPES |
| California | Other | 00A543240 G15 | CAL OPTIMA |
| California | MEDICAID | 00A54324A | CAL OPTIMA |
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