Healthcare Provider Details

I. General information

NPI: 1255994562
Provider Name (Legal Business Name): LEO ZALIKHA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2019
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2760 ATLANTIC AVE
LONG BEACH CA
90806-2755
US

IV. Provider business mailing address

2760 ATLANTIC AVE
LONG BEACH CA
90806-2755
US

V. Phone/Fax

Practice location:
  • Phone: 562-424-6666
  • Fax:
Mailing address:
  • Phone: 562-424-6666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA195683
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: