Provider Demographics
NPI:1184364218
Name:LEIGH, ADRIENNE POTEETE (MD)
Entity type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:POTEETE
Last Name:LEIGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ADRIENNE
Other - Middle Name:CAROLE
Other - Last Name:POTEETE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:528 HAUSER BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-3232
Mailing Address - Country:US
Mailing Address - Phone:775-842-8503
Mailing Address - Fax:
Practice Address - Street 1:757 WESTWOOD PLZ
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-8358
Practice Address - Country:US
Practice Address - Phone:310-825-9111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-29
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program