Leena Care, PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

LEENA CARE, PC

Doing business as

De-Aging Medspa

Practice address

6471 S Rural Rd
Tempe, AZ 85283-2907

Phone

(480) 428-5197

Fax

(480) 656-1132

NPI assigned

Sep 20, 2023

Last updated

Sep 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maher Jerudi, MD

Title

Director

Phone

(780) 232-4443

Specialties & licenses 1

Addresses

Other names 1

• DE-AGING MEDSPA Doing business as

Locations

Practitioners 1

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.

• Brady James Johnson, DC

  • Chiropractor
  • Surprise, AZ
  • NPI 1760131130

  Single Specialty

  NPD

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1518745447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6471 S RURAL RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832907",
            "telephone_number": "780-232-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6471 S RURAL RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832907",
            "telephone_number": "480-428-5197",
            "fax_number": "480-656-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEENA CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "JERUDI",
        "authorized_official_first_name": "MAHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "780-232-4443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DE-AGING MEDSPA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin Lee, PAC
• Sam Lee
• Scott K Lee, DDS
• Victoria A Lee, MD
• Young B. Lee, PH.D.
• Scott Leffler, MD
• Legacy Heart Care of Phoenix, LLC (Flow Therapy Tempe)
• Shel-Don Legarreta, MD
• Legend Healthcare, LLC
• Cassandra Jessica Legger, M.S.

• Health Service Clinic/Center in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Health Service Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.