NPIMap

Organization Active NPI

Leila Bozorgnia MD Inc

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1912264722
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A107098 Issued in CA
Legal business name
LEILA BOZORGNIA MD INC
Practice address
2990 S Sepulveda Blvd Ste 202
Los Angeles, CA 90064-3973
Phone
(424) 227-2020
Fax
(310) 388-1104
NPI assigned
Apr 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Dr. Leila Bozorgnia, MDNPI 1881820934
Title
President
Phone
(424) 277-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A107098 CA Primary

Addresses

Primary practice location

2990 S Sepulveda Blvd Ste 202
Los Angeles, CA 90064-3973

Mailing address

2990 S Sepulveda Blvd Ste 202
Los Angeles, CA 90064-3973
Phone (424) 277-2020

Other practice location 1

23530 Hawthorne Blvd Ste 260
Torrance, CA 90505-4726
Phone (424) 322-9866

Other identifiers 1

IdentifierTypeStateIssuer
A107098OtherCAN/A

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2043514Leila Bozorgnia MD Inc2990 S Sepulveda Ste 202, Los Angeles, CA 90064Certificate of waiverJul 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Leila Bozorgnia MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2990 S Sepulveda Blvd
Ste 202
Los Angeles, CA 90064
Phone (424) 227-2020

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1912264722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 S SEPULVEDA BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643973",
            "telephone_number": "424-277-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 S SEPULVEDA BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643973",
            "telephone_number": "424-227-2020",
            "fax_number": "310-388-1104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23530 Hawthorne Blvd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054726",
            "country_code": "US",
            "telephone_number": "424-322-9866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEILA BOZORGNIA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "BOZORGNIA",
        "authorized_official_first_name": "LEILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-277-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A107098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "A107098",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.