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Organization

JAY LEATHERS MD INC

Active
Other names
LeathersMD
Organization subpart
No

Provider details

NPI number
Authorized official
JAY LEATHERS M.D. (OWNER)
(714) 930-3096
Entity
Organization

Contact information

Practice address
4676 LAKEVIEW AVE, SUITE 105, YORBA LINDA, CA 92886-2489
(714) 930-3096
Mailing address
4676 LAKEVIEW AVE, SUITE 105, YORBA LINDA, CA 92886-2489
(714) 930-3096

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A121700
CA

Other

Enumeration date
11/16/2015
Last updated
11/16/2015
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