Individual
DR. JARED LEIGH PIETY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6510 E SPRING ST, LONG BEACH, CA 90815-1554
(562) 421-4791
(562) 496-1180
Mailing address
6510 E SPRING ST, LONG BEACH, CA 90815-1554
(562) 421-4791
(562) 496-1180
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C28360
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C28360
—
CA
Enumeration date
10/04/2006
Last updated
07/08/2007
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