Ieti Leaea
Counselor, Addiction (Substance Use Disorder) in Los Angeles, CA. Individual provider (NPI-1).
Details
- NPI
- 1750835898
- Entity type
- Individual (NPI-1)
- Name
- Ieti Leaea
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2016
- Last updated
- Aug 5, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | A09310315 | CA | Yes |
Practice location
5318 Crenshaw BlvdLos Angeles, CA 90043-1810
Phone 323-293-6291 · Fax 323-293-1091
Mailing address
5318 Crenshaw BlvdLos Angeles, CA 90043-1810
Phone 323-293-6291 · Fax 323-293-1091
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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