Provider Demographics
NPI:1013620947
Name:LELAND H. DAO, DO CA INC.
Entity Type:Organization
Organization Name:LELAND H. DAO, DO CA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LELAND
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:DAO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:310-844-6751
Mailing Address - Street 1:954 15TH ST UNIT 102
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-3133
Mailing Address - Country:US
Mailing Address - Phone:310-844-6751
Mailing Address - Fax:
Practice Address - Street 1:1762 WESTWOOD BLVD STE 110
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-5622
Practice Address - Country:US
Practice Address - Phone:310-833-6751
Practice Address - Fax:877-695-0541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-05
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center