Leo Indianer M.D., a Medical Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LEO INDIANER M.D., A MEDICAL CORPORATION

Practice address

23403 Lyons Avenue
PMB 178
Valencia, CA 91355

Phone

(661) 799-0368

Fax

(661) 799-0368

NPI assigned

May 9, 2007

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.

Title

Owner

Phone

(818) 788-5216

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1679787683",
    "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 AVENUE",
            "address_2": "PMB 178",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "91355",
            "telephone_number": "661-799-0368",
            "fax_number": "661-799-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO INDIANER M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "INDIANER",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-788-5216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lee
• Sun Gyu Lee, MSN, RN
• John P Legler, LMFT
• Mayra Lehnert
• Cynthia Lemus, ACSW
• Leo Indianer, MD, a Medical Corporation
• Maria Florencia Leon
• Chris Lepine
• Lev Grinman MD 4 Professional Corporation
• Sydney Madisyn Levalois

• Clinical Medical Laboratory in Valencia, CA
• Providers in Valencia, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.