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NPI Code Detail

MEDICARE: DR. LELAND K MA PHARM. D.

MEDICARE: DR. LELAND K MA PHARM. D.
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
1183500000XPharmacist32234CA

General Provider Information

NPI Number : 1457664575
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LELAND K MA PHARM. D.
Provider Business Mailing Address
First Line : 17215 HORST AVE
Second Line :
City : CERRITOS
State : CA
Zip : 90703-2733
Country : US
Telephone Number : 562-562-4175
Fax Number : 323-235-3513
Provider Business Practice Location Address
First Line : 4322 S FIGUEROA ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90037-2642
Country : US
Telephone Number : 323-235-3535
Fax Number : 232-235-3513
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2010
Last Update Date : 07/18/2010

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