Individual
DR. LESLIE HOWARD EDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 E 28TH ST, SUITE 400, LONG BEACH, CA 90806-2759
(562) 427-9929
(562) 427-2565
Mailing address
701 E 28TH ST, SUITE 400, LONG BEACH, CA 90806-2759
(562) 427-9929
(562) 427-2565
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G48000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G480000
—
CA
Enumeration date
09/20/2006
Last updated
08/29/2008
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