Individual
LEENA CAROLINE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD, SUITE 4311, WEST HOLLYWOOD, CA 90048-1804
(310) 423-4434
(310) 423-2114
Mailing address
8700 BEVERLY BLVD, SUITE 4311, WEST HOLLYWOOD, CA 90048-1804
(310) 423-4434
(310) 423-2114
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A101342
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A101342
CA
Other
Enumeration date
02/08/2008
Last updated
09/06/2013
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