Active NPI
Leslie Hope Wills, RD
- Pediatric Nutrition Registered Dietitian
- Los Angeles, CA
National Provider Identifier
1699895102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- Practice address
- 4650 W Sunset Blvd
Ms 140
Los Angeles, CA 90027-6062 - Phone
- (323) 671-3816
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | Primary | ||
| Rehabilitation Practitioner | 225400000X |
Addresses
Primary practice location
4650 W Sunset Blvd
Ms 140
Los Angeles, CA 90027-6062
Mailing address
4650 W Sunset Blvd
Ms 140
Los Angeles, CA 90027-6062
Phone (323) 671-3816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475539200000",
"number": "1699895102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 W SUNSET BLVD",
"address_2": "MS 140",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276062",
"telephone_number": "323-671-3816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 W SUNSET BLVD",
"address_2": "MS 140",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276062",
"telephone_number": "323-671-3816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLS",
"first_name": "LESLIE",
"middle_name": "HOPE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2016-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": true
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Darryl Alan Willoughby, MD
- Denise Willoughby
- Megan Willoughby, MA CCC-SLP
- Leah Kathleen Willover, OTR/L
- Willow Women and Children'S Wellness, LLC
- Meagan Wills
- Olivia Claire Wills
- Stuart L. Willson, M.D.
- Courtney M Wilmot, NURSE PRACTITIONER
- Wilshire Aesthetics Medical Associates Surgery Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.