Provider Demographics
NPI:1154746436
Name:LEONARD LEANILLO
Entity type:Organization
Organization Name:LEONARD LEANILLO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FLORENTINO
Authorized Official - Middle Name:TANTOY
Authorized Official - Last Name:LEANILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-997-5818
Mailing Address - Street 1:3475 SCOTTSDALE RD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89512-1479
Mailing Address - Country:US
Mailing Address - Phone:775-800-1228
Mailing Address - Fax:775-800-1228
Practice Address - Street 1:3475 SCOTTSDALE RD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89512-1479
Practice Address - Country:US
Practice Address - Phone:775-800-1228
Practice Address - Fax:775-800-1228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0904XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, Federal