Provider Demographics
NPI:1124045174
Name:ZAFARANCHI, LEILA (MD)
Entity Type:Individual
Prefix:
First Name:LEILA
Middle Name:
Last Name:ZAFARANCHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7320 WOODLAKE AVENUE
Mailing Address - Street 2:SUITE 160
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1481
Mailing Address - Country:US
Mailing Address - Phone:818-887-5008
Mailing Address - Fax:818-887-5577
Practice Address - Street 1:7320 WOODLAKE AVENUE
Practice Address - Street 2:SUITE 160
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1481
Practice Address - Country:US
Practice Address - Phone:818-887-5008
Practice Address - Fax:818-887-5577
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA85065261QM2500X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI16283Medicare UPIN
CAWA85065AMedicare ID - Type UnspecifiedPPIN NUMBER