Healthcare Provider Details

I. General information

NPI: 1336726694
Provider Name (Legal Business Name): LEAH CARTER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2021
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1731 E 120TH ST
LOS ANGELES CA
90059-3051
US

IV. Provider business mailing address

1731 E 120TH ST
LOS ANGELES CA
90059-3051
US

V. Phone/Fax

Practice location:
  • Phone: 424-338-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberA196401
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: