Individual provider · Type 1 NPI

Joshua David Leiby

Student in an Organized Health Care Education/Training Program · Venice, CA

NPI number 1205654092 Active

Practice location

204 Hampton Dr
Venice, CA 90291-2623

Call (310) 399-6878 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205654092

Joshua David Leiby's National Provider Identifier is 1205654092, issued on Sep 30, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Venice, CA. The record was last updated on Oct 2, 2024.