Organization Active NPI

Lightstream Health L L C

  • Family Medicine Physician
  • Woodland Hills, CA
National Provider Identifier
1215717855
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIGHTSTREAM HEALTH L L C
Practice address
20969 Ventura Blvd Ste 229
Woodland Hills, CA 91364-2378
Phone
(414) 217-3847
NPI assigned
Oct 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Loren LeshanNPI 1194832642
Title
Ceo
Phone
(414) 217-3847

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

20969 Ventura Blvd Ste 229
Woodland Hills, CA 91364-2378

Mailing address

20969 Ventura Blvd Ste 229
Woodland Hills, CA 91364-2378
Phone (414) 217-3847

National Provider Directory

National Provider Directory

Locations

20969 Ventura Blvd
Ste 229
Woodland Hills, CA 91364
Phone (414) 217-3847

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1215717855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20969 VENTURA BLVD STE 229",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642378",
            "telephone_number": "414-217-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20969 VENTURA BLVD STE 229",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642378",
            "telephone_number": "414-217-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTSTREAM HEALTH L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "LESHAN",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-217-3847"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.