Healthcare Provider Details

I. General information

NPI: 1104243666
Provider Name (Legal Business Name): LEILA CAROLINE AURORA POSCH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2014
Last Update Date: 09/02/2020
Certification Date: 09/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4650 W SUNSET BLVD # 51
LOS ANGELES CA
90027-6062
US

IV. Provider business mailing address

265 S ARROYO PKWY UNIT 302
PASADENA CA
91105-5204
US

V. Phone/Fax

Practice location:
  • Phone: 323-361-2509
  • Fax:
Mailing address:
  • Phone: 972-814-7739
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License NumberMT212508
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License NumberA168792
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: