MEDICARE: LESLIE MAGANA ARIAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist	MPSS-UFBIGL	CA

General Provider Information

NPI Number	:	1124963624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE MAGANA ARIAS

Provider Business Mailing Address
First Line	:	905 E 8TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90021-1848
Country	:	US
Telephone Number	:	213-553-1892
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 COLUMBIA AVE STE 200
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-1209
Country	:	US
Telephone Number	:	213-434-1669
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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Directions to “ LESLIE MAGANA ARIAS ” Practice Location

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