Organization Active NPI

Irene P Leech MD Inc

  • Adolescent Medicine (Internal Medicine) Physician
  • Long Beach, CA
National Provider Identifier
1376832402
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
G41993 Issued in CA
Legal business name
IRENE P LEECH MD INC
Practice address
1040 Elm Ave Ste 307
Long Beach, CA 90813-3267
Phone
(562) 590-8500
Fax
(562) 435-8477
NPI assigned
Mar 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Dr. Irene Patricia Leech, MDNPI 1497853592
Title
President
Phone
(562) 590-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0000X G41993 CA Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X G41993 CA
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X G41993 CA

Addresses

Primary practice location

1040 Elm Ave Ste 307
Long Beach, CA 90813-3267

Mailing address

1040 Elm Ave Ste 307
Long Beach, CA 90813-3267
Phone (562) 590-8500

Other identifiers 1

IdentifierTypeStateIssuer
00G419930MedicaidCA

National Provider Directory

National Provider Directory

Locations

1040 Elm Ave
Ste 307
Long Beach, CA 90813
Phone (562) 590-8500

125 E 8th St
#100
Long Beach, CA 90813
Phone (562) 590-8509

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1376832402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 ELM AVE STE 307",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133267",
            "telephone_number": "562-590-8500",
            "fax_number": "562-435-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 ELM AVE STE 307",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133267",
            "telephone_number": "562-590-8500",
            "fax_number": "562-435-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE P LEECH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "LEECH",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-590-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "CA",
            "license": "G41993",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G41993",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G41993",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G419930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.