# SEAN LESON DO MPH PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245305838
- **Authorized official:** DR. SEAN LESON D.O. (PRESIDENT)
- **Authorized official phone:** (714) 590-1611

## Contact information

- **Practice address:** 12512 GARDEN GROVE BLVD, GARDEN GROVE, CA 92843-1907
- **Practice address phone:** (714) 590-1611
- **Practice address fax:** (714) 590-1641
- **Mailing address:** 12512 GARDEN GROVE BLVD, GARDEN GROVE, CA 92843-1907
- **Mailing address phone:** (714) 590-1611
- **Mailing address fax:** (714) 590-1641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 20A6461 | CA | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 07/20/2015