Stanley J. Leiken, Md Inc. | |
16311 Ventura Blvd 1050 Encino CA 91436-2124 | |
(818) 783-0908 | |
(818) 783-3832 |
Full Name | Stanley J. Leiken, Md Inc. |
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Speciality | Clinic/Center |
Location | 16311 Ventura Blvd, Encino, California |
Authorized Official Name and Position | Stanley Joseph Leiken (PRESIDENT) |
Authorized Official Contact | 8187830908 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stanley J. Leiken, Md Inc. 16311 Ventura Blvd 1050 Encino CA 91436-2124 Ph: (818) 783-0908 | Stanley J. Leiken, Md Inc. 16311 Ventura Blvd 1050 Encino CA 91436-2124 Ph: (818) 783-0908 |
NPI Number | 1619394830 |
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Provider Enumeration Date | 03/26/2014 |
Last Update Date | 03/26/2014 |
Medicare PECOS PAC ID | 4183840069 |
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Medicare Enrollment ID | O20140730000483 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619394830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | G7019 (California) | Primary |
Provider Name | Stanley J Leiken |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1477759256 PECOS PAC ID: 4981820867 Enrollment ID: I20140730000594 |
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