Physician Compare National (NPI:1689716250)

HEALTHCARE PROVIDER: ELLEN F. LEEB M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1689716250
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9537230321
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080623000314
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEEB
	Individual professional last name
Provider First Name	ELLEN
	Individual professional first name
Provider Middle Name	F
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PAIN MANAGEMENT
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PAIN MANAGEMENT
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	9171 WILSHIRE BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 600
	Group Practice or individual's line 2 address
City	BEVERLY HILLS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	902105517
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3102361130
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y