Provider Demographics
NPI:1609321272
Name:COMPENDIO, LEONILA
Entity Type:Individual
Prefix:
First Name:LEONILA
Middle Name:
Last Name:COMPENDIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5838 HUNTER ST
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-2308
Mailing Address - Country:US
Mailing Address - Phone:805-512-2886
Mailing Address - Fax:
Practice Address - Street 1:5838 HUNTER ST
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-2308
Practice Address - Country:US
Practice Address - Phone:805-512-2886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-23
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA81614688372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion