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LESLIE BALLAS MD

Individual Provider (NPI-1) Active

Provider Information

NPI Number
1235388901
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
1441 EASTLAKE AVE NOR G-350, LOS ANGELES, CA, 900890112
Phone
(323) 865-3050
Fax
(323) 865-3000

Specialties & Taxonomies

Unknown Primary License: CA #A111990

All Addresses

MAILING

4140 W 190TH ST

TORRANCE, CA, 905045513

LOCATION

1441 EASTLAKE AVE NOR G-350

LOS ANGELES, CA, 900890112

(323) 865-3050