MEDICARE: DR. LEILA RAD

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	103TC0700X	Clinical Psychologist	32727	CA

General Provider Information

NPI Number	:	1972441061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEILA RAD

Provider Business Mailing Address
First Line	:	3857 BIRCH ST # 3013
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2616
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4237 VIA MARINA APT 507
Second Line	:
City	:	MARINA DEL REY
State	:	CA
Zip	:	90292-4556
Country	:	US
Telephone Number	:	213-787-7887
Fax Number	:

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

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

Similar Medicare Providers

1013658368 — LILY PSYCHOLOGICAL CONSULTATION INC.
Practice Location Address:

2183 W PASEO DEL MAR
SAN PEDRO, CA
90732-4556

Practice Phone: 415-273-9233
Practice Fax:

1083024145 — DR. DANIEL VITANTONIO MD
Practice Location Address:

475 WASHINGTON BLVD
MARINA DEL REY, CA
90292-5287

Practice Phone: 310-923-1437
Practice Fax:

1336087956 — JUFER LIBRANDO RDHAP
Practice Location Address:

4750 LINCOLN BLVD APT 214
MARINA DEL REY, CA
90292-6987

Practice Phone: 907-957-0671
Practice Fax:

1861446015 — KAMBIZ FARBAKHSH MD
Practice Location Address:

4650 LINCOLN BLVD
MARINA DEL REY, CA
90292-6306

Practice Phone: 310-823-8911
Practice Fax: 310-823-8911

1427905058 — REGENESIS NUTRITION A MEDICAL CORPORATION
Practice Location Address:

4333 ADMIRALTY WAY UNIT 3
MARINA DEL REY, CA
90292-5469

Practice Phone: 818-515-6598
Practice Fax:

1861472235 — DEBRA J MESISCA PT
Practice Location Address:

13900 PANAY WAY APT SR318
MARINA DEL REY, CA
90292-6141

Practice Phone: 310-467-3713
Practice Fax:

Directions to “ DR. LEILA RAD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.