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General NPI Number Information
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NPI Number | 1588241566
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Entity Type | Individual
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Provider Name | BRIANNA LEON
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Gender | Female
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Dates
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Enumeration Date | 03/26/2021
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 1860 N WESTERN AVE SUITE 101
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City | LOS ANGELES
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State | CA
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Zip | 90095-1752
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Country | US
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Telephone | 310-267-9124
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Fax | 323-978-4883
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Provider Business Mailing Address
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Address Line | 24422 AVENIDA DE LA CARLOTA STE 300
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-3628
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Country | US
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Telephone | 949-599-2434
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Fax | 949-599-2430
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A194770
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License Number State | CA
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