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Organization

LESLIE A GIESEMANN MD APC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LESLIE A GIESEMANN MD (OWNER)
(858) 831-7770
Entity
Organization

Contact information

Practice address
317 N EL CAMINO REAL STE 502, ENCINITAS, CA 92024-2816
(858) 831-7770
(858) 831-7773
Mailing address
7770 REGENTS RD, SUITE 113-582, SAN DIEGO, CA 92122-1937
(858) 831-7770
(858) 831-7773

Taxonomy

Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
A62713
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A62713
MEDICAL LICENSE
CA
Enumeration date
09/22/2009
Last updated
12/15/2010
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