Individual
TED LEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9449 IMPERIAL HWY, SUITE 128, DOWNEY, CA 90242-2814
(562) 657-4900
Mailing address
9449 IMPERIAL HWY, SUITE 128, DOWNEY, CA 90242-2814
(562) 657-4900
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A107632
CA
207Y00000X
Otolaryngology Physician
DR-49903
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL-1327
CO
Other
Enumeration date
01/26/2007
Last updated
12/01/2021
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