Individual provider · Type 1 NPI

Leonardo O. Granados, PA-C

Surgical Physician Assistant · Los Angeles, CA

NPI number 1972758159 Active

Practice location

1200 N State St
Los Angeles, CA 90033-1029

Call (323) 226-7792 Map

Fax (323) 226-4150

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA17904 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1972758159

Leonardo O. Granados, PA-C's National Provider Identifier is 1972758159, issued on Dec 1, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 1, 2008.