Individual
DR. SUSAN D. LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 MEDICAL PLZ, SUITE 420, LOS ANGELES, CA 90095-0001
(310) 206-8272
(310) 791-2113
Mailing address
5767 W CENTURY BLVD, #400, LOS ANGELES, CA 90045-5631
(310) 206-8272
(310) 791-2113
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A105969
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437326386
—
CA
Enumeration date
05/09/2008
Last updated
10/05/2011
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