Individual
DR. LESLIE L CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4475 UNIVERSITY AVE, SAN DIEGO, CA 92105-1731
(619) 521-2020
(619) 521-2025
Mailing address
4475 UNIVERSITY AVE, SAN DIEGO, CA 92105-1731
(619) 521-2020
(619) 521-2025
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
12792
CA
152WC0802X
Corneal and Contact Management Optometrist
Primary
12792
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508953332
—
CA
Enumeration date
10/05/2006
Last updated
01/15/2009
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