| NPI | 1992179832 |
|---|---|
| Doing Business As | LEATHERSMD |
| Entity Type | Organization |
| Authorized Contact | JAY LEATHERS Owner 714-930-3096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A121700) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-11-16 |