Organization
IRENE P LEECH MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRENE PATRICIA LEECH MD (PRESIDENT)
(562) 590-8500
Entity
Organization
Contact information
Practice address
1040 ELM AVE STE 307, LONG BEACH, CA 90813-3267
(562) 590-8500
(562) 435-8477
Mailing address
1040 ELM AVE STE 307, LONG BEACH, CA 90813-3267
(562) 590-8500
(562) 435-8477
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
G41993
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
G41993
CA
207RP1001X
Pulmonary Disease Physician
G41993
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G419930
—
CA
Enumeration date
03/29/2011
Last updated
03/29/2011
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