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Contact Information

LEO INDIANER, MD
16260 VENTURA BLVD
#515
ENCINO, CA91436
 Phone: 818-788-5216
 Fax: 818-788-2702
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for LEO INDIANER · (Male)

NPI Number 1710075858
Status Active
Credentials MD
Entity Individual
Enumeration date 10/11/2006
Last updated 02/28/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C25642
  • CA Medicaid ZZZ59180Z
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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