Individual
MATTHEW EDWARD LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39755 DATE ST, MURRIETA, CA 92563-2007
(951) 461-0770
Mailing address
9834 GENESEE AVE, STE 111, LA JOLLA, CA 92037-1223
(858) 909-0770
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
141821
CA
Other
Enumeration date
06/17/2011
Last updated
12/03/2021
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