Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | G84546 | CA |
N | 207RH0003X | Hematology & Oncology | 30378 | AZ |
NPI | 1457310450 |
---|---|
Provider Name | Dr. Leslie L Popplewell |
First Address | Los Angeles, CA 90051-0185 |
Second Address | Duarte, CA 91010-3012 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2006 |
Last Update Date | 28/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
812778 | (05) | AZ |
G91606 | (02) |