Gillum, Leslie A.
Gillum, Leslie A. is an individual health care provider with primary practice located at 575 Lennon Ln Ste 152 , Walnut Creek CA 94598-2443. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Gillum, Leslie A. can be contacted via phone (925) 602-7060.Contact Information
Primary practice address
575 Lennon Ln Ste 152
Walnut Creek CA 94598-2443
Phone: (925) 602-7060
Fax: (925) 602-7070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A83111 | California |
Profile Details
| NPI number | 1275569089 |
|---|---|
| LBN Legal business name | Gillum, Leslie A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Jul 13th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275569089 | NPPES |
| California | MEDICAID | 00A831110 |
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