DR. LESLIE ELLIOTT BRODY (NPI# 1467416644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467416644 |
| Entity Type | Individual |
| Full Name | DR. LESLIE ELLIOTT BRODY |
| Credential | M.D. |
| Practice Address |
23521 Paseo De Valencia Suite 306 Laguna Hills CA 92653-3107 |
| Practice Telephone | 9498309030 |
| Practice Fax Number | 9498309130 |
| Mailing Telephone | 9498309030 |
| Mailing Fax Number | 9498309130 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
G43013 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA NUMBER | AB9518474 | 01 |
| CA | MEDICAL LICENSE | G43013 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083179220 | Leslie Gary Brody | Social Worker | 35 Buswell Park, Newton, MA 02458 | 2019-02-01 |
| 1568503290 | Leslie R Brody | Psychologist | 648 Beacon St Rm 230, Boston, MA 02215-2013 | 2007-02-08 |
| 1700070844 | Leslie Hannah Brody | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2007-08-31 |
| Street Address |
23521 PASEO DE VALENCIA SUITE 306 |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376540575 | Christine Evelyn Fritz | Physician Assistant | 23521 Paseo De Valencia, Suite #204, Laguna Hills, CA 92653-3107 | 2005-07-01 |
| 1073137238 | Allison Helen Paris | Physical Therapist | 23521 Paseo De Valencia, Suite B7, Laguna Hills, CA 92653-3107 | 2020-06-03 |
| 1568823714 | Sarah S. Teymoorian, Md, Inc. | Internal Medicine | 23521 Paseo De Valencia, Suite 108, Laguna Hills, CA 92653-3137 | 2016-03-16 |
| 1841675816 | John C Hwang Md Mba Inc | Ophthalmology | 23521 Paseo De Valencia, Suite 207, Laguna Hills, CA 92653-3107 | 2015-07-20 |
| 1376949826 | William Parks | Dentist | 23521 Paseo De Valencia, #112, Laguna Hills, CA 92653-3107 | 2014-11-11 |
| 1881019818 | Positive Healthy Aging, Inc. | Family Medicine | 23521 Paseo De Valencia, Suite 311, Laguna Hills, CA 92653-3107 | 2014-02-27 |
| 1912328865 | Chi-whei Lin, Md, Inc. | Internal Medicine | 23521 Paseo De Valencia, Suite 310, Laguna Hills, CA 92653-3107 | 2013-12-19 |
| 1194161703 | Jorge A. Rivero, M.d., Inc. | Family Medicine | 23521 Paseo De Valencia, Suite 108, Laguna Hills, CA 92653-3107 | 2013-05-22 |
| 1336491901 | Beautymark Anti Aging & Welness Center | Internal Medicine | 23521 Paseo De Valencia, Suite 310, Laguna Hills, CA 92653-3107 | 2012-10-08 |
| 1376800375 | Sarah Kay Selag Herrera | Pediatrics | 23521 Paseo De Valencia, Suite 200, Laguna Hills, CA 92653-3107 | 2012-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144797937 | A Fine Balance | Psychiatry & Neurology | 4200 Scotts Valley Dr Ste E, Scotts Valley, CA 95066-4539 | 2018-10-30 |
| 1619321791 | Prohealth Partners A Medical Group Inc | Psychiatry & Neurology | 16300 Sand Canyon Ave Ste 488, Irvine, CA 92618-3711 | 2016-04-14 |
| 1811381882 | Sinifunanya Nwaobi | Psychiatry & Neurology | 100 Ucla Medical Plaza Suite 245, Los Angeles, CA 90095-7419 | 2015-03-26 |
| 1366857260 | Prohealth Partners A Medical Group Inc | Psychiatry & Neurology | 26800 Crown Valley Pkwy Ste 510, Mission Viejo, CA 92691-8028 | 2014-06-30 |
| 1316387830 | Melissa Przeklasa Auth Md Professional Corporation | Psychiatry & Neurology | 30131 Town Center Dr Ste 195, Laguna Niguel, CA 92677-2040 | 2013-06-28 |
| 1538432463 | Joao Siffert | Psychiatry & Neurology | 18277 Via Ascenso, Rancho Santa Fe, CA 92067-2802 | 2012-02-23 |
| 1396043006 | Peter Himber | Psychiatry & Neurology | 1525 North Tustin Avenue, Santa Ana, CA 92705 | 2011-03-03 |
| 1902123060 | Danilo Reyes Bernardo Jr. | Psychiatry & Neurology | 10833 Le Conte Ave Ste 22-474, Los Angeles, CA 90095-4221 | 2010-04-29 |
| 1497071799 | Jennifer Lynn Martelle Tu | Psychiatry & Neurology | 744 52nd St Fl 5, Oakland, CA 94609-1810 | 2010-04-12 |
| 1912231705 | Audrey Christine Brumback | Psychiatry & Neurology | Ucsf Dept of Neurology 505 Parnassus Ave, Room M798, Box 0114, San Francisco, CA 94143-0001 | 2009-09-25 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.