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Organization
LELAND E WATKINS M D INC
Active
Organization
LELAND E WATKINS M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANA VEDA SHEPHERD (OFFICE MANAGER)
(818) 790-1145
Entity
Organization
Contact information
Practice address
1818 VERDUGO BLVD, SUITE 108, GLENDALE, CA 91208-1403
(818) 790-1145
(818) 790-6387
Mailing address
1818 VERDUGO BLVD, SUITE 108, GLENDALE, CA 91208-1403
(818) 790-1145
(818) 790-6387
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G30953
CA
Other
Enumeration date
10/17/2007
Last updated
09/02/2020
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