Doctor Name: | DR. VICTORIA BORISIVNA LEONICHEV |
NPI Number: | 1467783936 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDCS |
License Number: | ARDMS#95804 |
Business Practice Address: | 5260 Corteen Pl Apt 3 Valley Village, CA - 916072563 |
Business Phone Number: | 8187600882 |
Business Fax Number: | 8187600882 |
Mailing Address: | 5260 Corteen Pl Apt 3, VALLEY VILLAGE |
State: | CA |
Postal Code: | 916072563 |
Phone Number: | 8187600882 |
Fax Number: | 8187600882 |
NPI Enumeration Date: | 01/23/2010 |
NPI Last Update Date: | 01/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ARDMS#95804 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |