Healthcare Provider Details

I. General information

NPI: 1447730445
Provider Name (Legal Business Name): LEAH MAURINE SPIRO MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEAH MAURINE LOUSKY

II. Dates (important events)

Enumeration Date: 08/19/2018
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 S SAN VICENTE BLVD STE 1001
LOS ANGELES CA
90048-4170
US

IV. Provider business mailing address

4140 W 190TH ST
TORRANCE CA
90504-5513
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-9999
  • Fax: 310-423-9939
Mailing address:
  • Phone: 310-423-9999
  • Fax: 310-423-9939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95009268
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WX0002X
TaxonomyHigh-Risk Obstetric Registered Nurse
License Number95078019
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: