Individual
LESLIE CARRANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
14445 OLIVE VIEW DRIVE ROOM 6D116, OLIVE VIEW - VCIA MEDICAL CENTER, SYLMAR, CA 91342
(818) 364-3223
(818) 364-3255
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A122883
CA
207V00000X
Obstetrics & Gynecology Physician
ML20008720
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770697971
MEDI CAL
CA
Enumeration date
08/18/2006
Last updated
10/28/2020
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