IRENE P LEECH MD INC NPI 1376832402

NPI Information

NPI: 1376832402
Provider Name: IRENE P LEECH MD INC
Classification: Internal Medicine - 207RA0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
1040 ELM AVE STE 307
LONG BEACH, CA
ZIP 90813
Phone: (562) 590-8500
Get Directions

IRENE P LEECH MD INC is an adolescent medicine internal medicine in Long Beach, CA. The provider is an internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. IRENE P LEECH MD INC NPI is 1376832402. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1040 ELM AVE STE 307
LONG BEACH, CA
ZIP 90813-267
Phone: (562) 590-8500
Fax: (562) 435-8477

The provider's authorized official is Irene Patricia Leech .
The authorized official title is President and has the following contact phone number (562) 590-8500.

The enumeration date for this NPI number is 3/29/2011 and was last updated on 3/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0300X	Internal Medicine	Geriatric Medicine	G41993	CALIFORNIA	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	G41993	CALIFORNIA	No
3	207RA0000X	Internal Medicine	Adolescent Medicine	G41993	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A48769	MEDICARE UPIN	CALIFORNIA
2	00G419930	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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