Healthcare Provider Details

I. General information

NPI: 1629905237
Provider Name (Legal Business Name): LEAH BRIGGS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8741 ALDEN DR STE A
LOS ANGELES CA
90048-3692
US

IV. Provider business mailing address

8741 ALDEN DR STE A
LOS ANGELES CA
90048-3692
US

V. Phone/Fax

Practice location:
  • Phone: 310-652-2744
  • Fax:
Mailing address:
  • Phone: 310-652-2744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA68277
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: