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General NPI Number Information
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NPI Number | 1760126395
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Entity Type | Organization
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Legal Business Name | LEILA BOZORGNIA MD INC
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Dates
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Enumeration Date | 04/20/2022
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Last Update Date | 04/20/2022
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Provider Practice Location Address
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Address Line | 23530 HAWTHORNE BLVD STE 260
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City | TORRANCE
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State | CA
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Zip | 90505-4726
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Country | US
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Telephone | 424-322-9866
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Fax | 310-388-1104
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Provider Business Mailing Address
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Address Line | 28431 GOLDEN MEADOW DR
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-2925
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Country | US
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Telephone | 310-994-9659
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEILA BOZORGNIA
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Credential | MD
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Telephone | 424-277-2020
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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 |
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License Number State |
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