NPI
Leo'S Catalina Drug Store Inc.
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2005-12-19
- Last updated
- 2026-06-23
Specialties
Licenses
- License CA
- PHY46830
Location
- Practice location
- 401 Crescent Ave.
- City
- Avalon CA
- Postal code
- 90704-1543
- Phone
- (310) 510-0189
Organization contact
- Name
- BRYCE NOLL
- Title
- Director
- Phone
- 3105100189
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Avalon, CA. 36 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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