Basic Information
Provider Information
NPI: 1417016304
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCGHEE
FirstName: JULEA
MiddleName: LESHAR
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: HARBOR-UCLA MEDICAL CTR. DEPT OF PSYCHIATRY
Address2: 1000 W. CARSON ST.
City: TORRANCE
State: CA
PostalCode: 905022004
CountryCode: US
TelephoneNumber: 3102221623
FaxNumber: 3103287217
Practice Location
Address1: 1300 N VERMONT AVE STE 407
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900276086
CountryCode: US
TelephoneNumber: 3236620492
FaxNumber: 3236620196
Other Information
ProviderEnumerationDate: 12/06/2006
LastUpdateDate: 07/13/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XA95593CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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