Leo Indianer, MD, a Medical Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

C25642 Issued in CA

Legal business name

LEO INDIANER, MD, A MEDICAL CORPORATION

Practice address

23403 Lyons Ave
PMB 178
Valencia, CA 91355-3028

Phone

(661) 799-0368

Fax

(661) 799-0368

NPI assigned

Oct 24, 2007

Last updated

Oct 24, 2007By 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. Leo Indianer, M.D.NPI 1710075858

Title

Owner

Phone

6618187885216

Specialties & licenses 1

Addresses

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.

• Leo Indianer, MD

  • Dermatology Physician
  • Encino, CA
  • NPI 1710075858
  Authorized official Same address or phone

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1528247723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD",
            "address_2": "SUITE 515",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362203",
            "telephone_number": "818-788-5216",
            "fax_number": "818-788-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23403 LYONS AVE",
            "address_2": "PMB 178",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553028",
            "telephone_number": "661-799-0368",
            "fax_number": "661-799-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO INDIANER, MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "INDIANER",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "6618187885216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C25642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sun Gyu Lee, MSN, RN
• John P Legler, LMFT
• Mayra Lehnert
• Cynthia Lemus, ACSW
• Leo Indianer M.D., a Medical Corporation
• Maria Florencia Leon
• Chris Lepine
• Lev Grinman MD 4 Professional Corporation (Bioprecision Wound Care)
• Sydney Madisyn Levalois
• Tahira Levels

• Dermatology Physician in Valencia, CA
• Providers in Valencia, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.