| Lightstream Health L L C | |
|
20969 Ventura Blvd Ste 229 Woodland Hills CA 91364-2378 | |
| (414) 217-3847 | |
| Not Available |
| Full Name | Lightstream Health L L C |
|---|---|
| Speciality | Clinic/center |
| Location | 20969 Ventura Blvd Ste 229, Woodland Hills, California |
| Authorized Official Name and Position | Loren Leshan (OWNER) |
| Authorized Official Contact | 4142173847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lightstream Health L L C 20969 Ventura Blvd Ste 229 Woodland Hills CA 91364-2378 Ph: (414) 217-3847 | Lightstream Health L L C 20969 Ventura Blvd Ste 229 Woodland Hills CA 91364-2378 Ph: (414) 217-3847 |
| NPI Number | 1013769363 |
|---|---|
| Provider Enumeration Date | 04/02/2024 |
| Last Update Date | 04/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013769363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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