Individual
LEIGH CHRISTOPHER REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 UCLA MEDICAL PLZ, SUITE 630, LOS ANGELES, CA 90095-1679
(310) 794-2727
(310) 825-6346
Mailing address
100 UCLA MEDICAL PLZ, SUITE 630, LOS ANGELES, CA 90024-6970
(310) 794-2727
(310) 825-6346
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A94973
CA
208000000X
Pediatrics Physician
A94973
CA
2080P0202X
Pediatric Cardiology Physician
Primary
A94973
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649200817
—
CA
Enumeration date
07/04/2006
Last updated
06/04/2012
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