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NPI Code Detail

MEDICARE: JOSE A. LEIRO D.C.

MEDICARE:   JOSE A. LEIRO  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor20288CA

General Provider Information

NPI Number : 1427133503
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE A. LEIRO D.C.
Provider Business Mailing Address
First Line : 10201 MASON AVE # AVE-16
Second Line :
City : CHATSWORTH
State : CA
Zip : 91311-3306
Country : US
Telephone Number : 818-998-1532
Fax Number :
Provider Business Practice Location Address
First Line : 4778 PECK RD
Second Line :
City : EL MONTE
State : CA
Zip : 91732-1300
Country : US
Telephone Number : 626-350-3917
Fax Number : 626-350-5259
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 07/08/2007

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Directions to “ JOSE A. LEIRO D.C.” Practice Location

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