Provider Demographics
NPI:1760006894
Name:LEI, VICTOR (DO)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:
Last Name:LEI
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:5767 W CENTURY BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5631
Mailing Address - Country:US
Mailing Address - Phone:818-843-9020
Mailing Address - Fax:818-843-9021
Practice Address - Street 1:2601 W ALAMEDA AVE STE 416
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4814
Practice Address - Country:US
Practice Address - Phone:818-843-9020
Practice Address - Fax:818-843-9021
Is Sole Proprietor?:No
Enumeration Date:2020-06-04
Last Update Date:2024-02-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A21170207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine