James Leach, D.D.S
Individual provider Active NPI Dentist · N Hollywood, CA
NPI 1972946226 · NPPES record last updated Apr 16, 2013
Key facts
- NPI
- 1972946226
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 26195 (CA)
- Practice address
- 4725 Lankershim Blvd
N Hollywood, CA 91602-1803 - Phone
- (818) 766-3775
- NPI assigned
- Apr 16, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 26195 | CA | Yes |
Addresses
Primary practice location
4725 Lankershim Blvd
N Hollywood, CA 91602-1803
Mailing address
4725 Lankershim Blvd
N Hollywood, CA 91602-1803
Phone (818) 766-3775
Other providers in N Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.