Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Mary E Leslie, NUTRITIONIST

Individual provider Nutritionist · NPI 1760685663

MS. Mary E Leslie, NUTRITIONIST is a Registered Dietitian OR Nutrition Professional in Los Angeles, California. Qualified in 1995, 31 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
31
Licensed in
CA
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

2012 S Victoria Ave
Los Angeles, CA 90016-1814
Phone: (626) 590-6461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutrition Education Nutritionist (primary) Taxonomy 133NN1002X (CA)
Nutritionist Taxonomy 133N00000X (CA)

Record details

NPI number1760685663
Entity typeIndividual (Type 1)
GenderFemale
Credentials NUTRITIONIST
Sole proprietorYes
NPI enumeratedJune 7, 2007
Last updated in NPPESSeptember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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