Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | #E4891 | CA |
NPI | 1073834180 |
---|---|
Provider Name | Dr. Randall William Leyking |
First Address | Torrance, CA 90503-5506 |
Second Address | Torrance, CA 90503-5506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2010 |
Last Update Date | 06/11/2021 |