Individual
DR. LESLIE E IRVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 ROSECRANS AVE STE 110, MANHATTAN BEACH, CA 90266-2470
(424) 225-1280
(617) 687-7722
Mailing address
1200 ROSECRANS AVE STE 110, MANHATTAN BEACH, CA 90266-2470
(424) 225-1280
(617) 687-7722
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
A125702
CA
207YS0123X
Facial Plastic Surgery Physician
Primary
A125702
CA
Other
Enumeration date
07/02/2013
Last updated
05/19/2025
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