Healthcare Provider Details

I. General information

NPI: 1700780822
Provider Name (Legal Business Name): LEILA ELIAS SLIHEET
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24001 CALLE DE LA MAGDALENA
LAGUNA HILLS CA
92654-1200
US

IV. Provider business mailing address

24001 CALLE DE LA MAGDALENA P.O. BOX 2115
LAGUNA HILLS CA
92654-9998
US

V. Phone/Fax

Practice location:
  • Phone: 949-532-7773
  • Fax:
Mailing address:
  • Phone: 949-532-7773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number152572
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: