Individual
DR. SEAN LESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12512 GARDEN GROVE BLVD, GARDEN GROVE, CA 92843-1907
(714) 590-1611
(714) 590-1641
Mailing address
12512 GARDEN GROVE BLVD, GARDEN GROVE, CA 92843-1907
(714) 590-1611
(714) 590-1641
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
20A6461
CA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
20A6461
CA
Other
Enumeration date
05/01/2006
Last updated
01/21/2014
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