Healthcare Provider Details

I. General information

NPI: 1669349833
Provider Name (Legal Business Name): LESLIE SALDANA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8410 W THOMAS RD STE 116
PHOENIX AZ
85037-3356
US

IV. Provider business mailing address

3877 N 7TH ST STE 400
PHOENIX AZ
85014-5061
US

V. Phone/Fax

Practice location:
  • Phone: 602-258-9924
  • Fax: 602-279-2362
Mailing address:
  • Phone: 602-258-6797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86359084
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: