Sean Leson DO MPH PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

20A6461 Issued in CA

Legal business name

SEAN LESON DO MPH PC

Practice address

12512 Garden Grove Blvd
Garden Grove, CA 92843-1907

Phone

(714) 590-1611

Fax

(714) 590-1641

NPI assigned

Nov 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sean Leson, D.O.NPI 1699733766

Title

President

Phone

(714) 590-1611

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean Leson, D.O.

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Garden Grove, CA
  • NPI 1699733766
  Medicare reassignment NPD Authorized official
• Michael Russo, D.C. QME

  • Chiropractor
  • Garden Grove, CA
  • NPI 1801824362
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1245305838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12512 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431907",
            "telephone_number": "714-590-1611",
            "fax_number": "714-590-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12512 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431907",
            "telephone_number": "714-590-1611",
            "fax_number": "714-590-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN LESON DO MPH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "LESON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-590-1611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "20A6461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sean Kim Chiropractic Inc.
• Katherine Grace Segura
• Sharanya Sekhri, SLP
• Select Multi Specialty Medical Care
• Keana Sempek
• Senior Care Pharmacy Services Inc

• Medical Specialty Clinic/Center in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.