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Individual

LESLIE MICHIO DOI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G57685
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G576850
CA
01
3300035116
RR MEDICARE
01
RHL128356
DEPT OF HEALTH SERVICES
CA
Enumeration date
09/15/2006
Last updated
03/07/2023
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