Organization
SEAN LESON DO MPH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN LESON D.O. (PRESIDENT)
(714) 590-1611
Entity
Organization
Contact information
Practice address
12512 GARDEN GROVE BLVD, GARDEN GROVE, CA 92843-1907
(714) 590-1611
(714) 590-1641
Mailing address
12512 GARDEN GROVE BLVD, GARDEN GROVE, CA 92843-1907
(714) 590-1611
(714) 590-1641
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
20A6461
CA
Other
Enumeration date
11/21/2006
Last updated
07/20/2015
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