Individual
BENJAMIN LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15031 RINALDI ST STE 150, MISSION HILLS, CA 91345-1207
(818) 660-4700
(818) 837-1987
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A122493
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
275219
NEW YORK STATE
NY
Enumeration date
01/25/2012
Last updated
11/11/2020
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