Leia Rispoli MD, Inc.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

LEIA RISPOLI MD, INC.

Doing business as

Leia Rispoli MD, Inc.

Practice address

4551 Glencoe Ave Ste 145
Marina del Rey, CA 90292-6385

Phone

(310) 405-0595

Fax

(310) 997-2766

NPI assigned

Jan 10, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Leia Rispoli, MDNPI 1679993406

Title

Owner

Phone

(310) 405-0595

Specialties & licenses 1

Addresses

Other names 1

• Leia Rispoli MD, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leia Rispoli, M.D.

  • Interventional Pain Medicine Physician
  • Marina del Rey, CA
  • NPI 1679993406

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Natasha Chand Mehta, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Marina del Rey, CA
  • NPI 1417377706
  Medicare reassignment Care Compare group NPD
• Jacob Daniel Hattenbach, DO

  • Physical Medicine & Rehabilitation Physician
  • Santa Monica, CA
  • NPI 1184184244
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1164183331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3129",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103129",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 GLENCOE AVE STE 145",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926385",
            "telephone_number": "310-405-0595",
            "fax_number": "310-997-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEIA RISPOLI MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "RISPOLI",
        "authorized_official_first_name": "LEIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-405-0595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leia Rispoli MD, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Leia Rispoli MD, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Lee, LAC
• Shakita Lee
• Timothy Lee, MD
• Young Soo Lee, MD
• Ryan Lefever
• Kelli Nicole Lem
• Sarah Leshinski
• Lawrence Henry Lesser, MD
• Bradley B Lewis, DDS
• Jacqueline Lezine-Hanna, MD

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.