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Michael R Leb, MD
Specialist in Hawthorne, California
NPI 1780674622

Michael R Leb is a Specialist based in Hawthorne, CA. Michael R Leb practices in Hawthorne, CA and has the professional credentials of MD. The NPI Number for Michael R Leb is 1780674622 and holds a License No. G41857 (California).

The current practice location address for Michael R Leb is 12954 Hawthorne Blvd, Hawthorne, CA and can be reached out via phone at 310-978-6900 and via fax at 310-218-5484.

Location: 12954 Hawthorne Blvd, Hawthorne, CA, 90250-4418
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780674622
Provider Name
Michael R Leb
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12954 Hawthorne Blvd, Hawthorne, CA, 90250-4418
Phone Number
310-978-6900
Fax Number
310-218-5484
Provider Enumeration Date
10/24/2005
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G418571 05 CA
00G418570 05 CA
00G418572 05 CA
institution
Provider Business Practice Location Address Details
Address
12954 Hawthorne Blvd
City
Hawthorne
State
California
Zip
90250-4418
Phone Number
310-978-6900
Fax Number
310-218-5484
person
Provider Business Mailing Address Details
Address
12954 Hawthorne Blvd
City
Hawthorne
State
California
Zip
90250-4418
Phone Number
310-978-6900
Fax Number
310-218-5484
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G41857 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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