Provider Demographics
NPI:1851670681
Name:OSZTREICHER, LEONARDO H
Entity Type:Individual
Prefix:MR
First Name:LEONARDO
Middle Name:H
Last Name:OSZTREICHER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23444 HARTLAND ST
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-2411
Mailing Address - Country:US
Mailing Address - Phone:818-590-3243
Mailing Address - Fax:
Practice Address - Street 1:23444 HARTLAND ST
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-2411
Practice Address - Country:US
Practice Address - Phone:818-590-3243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17772225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA17772Medicaid
CA17772Medicaid