Leilie Javan, M.D., a Medical Corporation

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

G861010 Issued in CA

Legal business name

LEILIE JAVAN, M.D., A MEDICAL CORPORATION

Practice address

425 Haaland Dr
Suite 203
Thousand Oaks, CA 91361-5229

Phone

(805) 381-9800

Fax

(805) 496-8480

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Leilie J Javan, M.D.NPI 1821018045

Title

Owner Physician

Phone

(805) 495-0551

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Leilie June Javan, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Thousand Oaks, CA
  • NPI 1821018045
  NPD (past) Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1679609622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR",
            "address_2": "SUITE 203",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615229",
            "telephone_number": "805-381-9800",
            "fax_number": "805-496-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR",
            "address_2": "SUITE 203",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615229",
            "telephone_number": "805-381-9800",
            "fax_number": "805-496-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEILIE JAVAN, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "JAVAN",
        "authorized_official_first_name": "LEILIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "805-495-0551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "G861010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Chee-Ho Lee, DDS MS
• Barry Lefkovitch, M.D.
• Marissa M Legal
• Regina S. Lehrer, M.F.T.
• Lindsey Leigh, FNP-BC
• Karissa Janelle Lemme
• Jenna Lemon, RD
• Angelina Renee Lemus
• Crystal Angela Lentine, LIC. ACUPUNCTURIST
• Jennifer Leonard, LMFT

• Plastic and Reconstructive Surgery Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.