Leidl, Peter J

Leidl, Peter J is an individual health care provider with primary practice located at 2801 Atlantic Ave , Long Beach CA 90806-1701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Leidl, Peter J can be contacted via phone (562) 933-2000.

Contact Information

Primary practice address
2801 Atlantic Ave Long Beach CA 90806-1701
Phone: (562) 933-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A41675 California
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X A41675 California

Profile Details

NPI number 1447257688
LBN Legal business name Leidl, Peter J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Oct 22nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447257688 NPPES
California Other 00A416750 MEDI CAL

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