Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Joshua David Leiby

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205654092

Joshua David Leiby is a Student in an Organized Health Care Education/Training Program in Venice, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

204 Hampton Dr
Venice, CA 90291-2623
Phone: (310) 399-6878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)

Record details

NPI number1205654092
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 30, 2024
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024
Mailing address204 Hampton Dr, Venice, CA 90291-2623

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