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Individual

DR. LESLIE HOWARD EDRICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2888 LONG BEACH BLVD STE 125, LONG BEACH, CA 90806-7500
(562) 933-3136
(562) 933-8964
Mailing address
2888 LONG BEACH BLVD STE 125, LONG BEACH, CA 90806-7500
(562) 933-3136
(562) 933-8964

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G48000
CA
208600000X
Surgery Physician
Primary
G48000
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G480000
CA
Enumeration date
09/20/2006
Last updated
07/01/2026
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