Provider Demographics
NPI:1841581329
Name:LEON TAPIA, MARIA OFELIA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:OFELIA
Last Name:LEON TAPIA
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 1:15558 CHASE ST APT 11
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-6507
Mailing Address - Country:US
Mailing Address - Phone:818-891-1837
Mailing Address - Fax:
Practice Address - Street 1:13716 SHERMAN WAY
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-2626
Practice Address - Country:US
Practice Address - Phone:818-988-2020
Practice Address - Fax:818-988-2004
Is Sole Proprietor?:No
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant