# IRENE P LEECH MD INC

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

## Provider details

- **NPI number:** 1376832402
- **Authorized official:** DR. IRENE PATRICIA LEECH MD (PRESIDENT)
- **Authorized official phone:** (562) 590-8500

## Contact information

- **Practice address:** 1040 ELM AVE STE 307, LONG BEACH, CA 90813-3267
- **Practice address phone:** (562) 590-8500
- **Practice address fax:** (562) 435-8477
- **Mailing address:** 1040 ELM AVE STE 307, LONG BEACH, CA 90813-3267
- **Mailing address phone:** (562) 590-8500
- **Mailing address fax:** (562) 435-8477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | G41993 | CA | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | G41993 | CA | — |
| 207RP1001X | Pulmonary Disease Physician | G41993 | CA | — |

## Other

- **Enumeration date:** 03/29/2011
- **Last updated:** 03/29/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G419930 | — | CA |