LEO INDIANER (MD) – Dermatology Physician, NPI 1710075858

LEO INDIANER (MD) is a healthcare provider. based in Encino, California. specializing in Dermatology Physician. They hold the professional credentials MD. They hold a License No. C25642 (CA). The NPI Number for LEO INDIANER (MD) is 1710075858

Main info

Male
66 Years Of Experience
Accepts Medicare Assignment
Name
LEO INDIANER (MD)
NPI
1710075858
Phone
(818) 788-5216
Address
16260 VENTURA BLVD
Enumeration Date
11 October 2006
Last Update Date
28 February 2014

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
8187884022
Graduation Year
1960 (66 years ago)
PAC ID
9234291246
Group Practice PAC ID
4183518442
Professional Enrollment ID
I20081230000291
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for LEO INDIANER (MD)

  • 16260, Ventura Boulevard, Encino, Los Angeles, Los Angeles County, California, 91436, United States

    #515

    ENCINO, CA 91436

    Phone: (818) 788-5216

    Fax: (818) 788-2702

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91436)

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Provider's Procedures

LEO INDIANER (MD) performs procedures in Dermatology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYCA88304Pathology examination of tissue using a microscope, moderately low complexity2524

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183518442View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
D E R M A T O L O G YCA
D E R M A T O L O G YCA
D E R M A T O L O G YCA
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

What unique ID ties claims to LEO INDIANER (MD)?
NPI 1710075858 is assigned to LEO INDIANER (MD) under the national enumeration system.
Is LEO INDIANER (MD) active in the national directory?
LEO INDIANER (MD)'s public NPI profile is in an active state.
Does LEO INDIANER (MD) list a primary specialty?
If you are matching referrals, note Dermatology Physician for LEO INDIANER (MD). Clinical services aligned with this taxonomy classification.
Where is LEO INDIANER (MD)'s primary listing?
We display Encino, California because that is what the record indicates for LEO INDIANER (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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