Lesly Alicia Bollo

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

130752 Issued in CA

Practice address

1400 S Grand Ave Ste 600
Los Angeles, CA 90015-3068

Phone

(213) 742-6250

NPI assigned

Sep 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1497532626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S GRAND AVE STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153068",
            "telephone_number": "213-742-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S GRAND AVE STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153068",
            "telephone_number": "213-742-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLO",
        "first_name": "LESLY",
        "middle_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "130752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sacha Miran Bollas
• Keval Bollavaram
• Bradley Bollhagen
• Jessica Marion Bollinger
• Lily Alexandra Bollinger, PT, DPT
• Kyle Alexander Bolo
• David Bolos
• Veronica Bolotnikova
• Nina Bolour
• Pejman Bolourian, MD

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.