Individual
ANTHONY LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, RN, PMHNP-BC
Contact information
Practice address
1625 SCHRADER BLVD, LOS ANGELES, CA 90028-6213
(323) 993-7500
(323) 308-4456
Mailing address
1625 SCHRADER BLVD, LOS ANGELES, CA 90028-6213
(323) 993-7500
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95023494
CA
Other
Enumeration date
12/16/2022
Last updated
03/26/2025
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