Sean Leson DO Mph PC
Clinic/Center, Medical Specialty in Garden Grove, CA. Organization (NPI-2).
Details
- NPI
- 1245305838
- Entity type
- Organization (NPI-2)
- Legal business name
- Sean Leson DO Mph PC
- Organization subpart
- No
- Enumeration date
- Nov 21, 2006
- Last updated
- Jul 20, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | 20A6461 | CA | Yes |
Practice location
12512 Garden Grove BlvdGarden Grove, CA 92843-1907
Phone 714-590-1611 · Fax 714-590-1641
Mailing address
12512 Garden Grove BlvdGarden Grove, CA 92843-1907
Phone 714-590-1611 · Fax 714-590-1641
Authorized official
Sean Leson
President
7145901611
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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