Individual
DR. KATHLEEN B MACLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3771 KATELLA AVE, #108, LOS ALAMITOS, CA 90720-3108
(562) 432-4357
Mailing address
1809 E DYER RD STE 311, SANTA ANA, CA 92705-5740
(562) 432-4357
(562) 433-6369
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G055788
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G055788
STATE LICENSE
CA
Enumeration date
03/12/2006
Last updated
03/10/2008
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