Healthcare Provider Details

I. General information

NPI: 1124958327
Provider Name (Legal Business Name): LEAH GARREN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4614 DEL AMO BLVD
TORRANCE CA
90503-1939
US

IV. Provider business mailing address

4614 DEL AMO BLVD
TORRANCE CA
90503-1939
US

V. Phone/Fax

Practice location:
  • Phone: 310-974-0456
  • Fax: 424-363-8772
Mailing address:
  • Phone: 310-974-0456
  • Fax: 424-363-8772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberPT16482
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: