Leos, David

Leos, David is an individual health care provider with primary practice located at 1 Administration Circle Bldg 1403 Stop1311 , China Lake CA 93555. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Independent Duty Corpsman, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Leos, David can be contacted via phone (760) 763-3697.

Contact Information

Primary practice address
1 Administration Circle Bldg 1403 Stop1311 China Lake CA 93555
Phone: (760) 763-3697
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X 17I0I1002X California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X California

Profile Details

NPI number 1417208224
LBN Legal business name Leos, David
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2012
Last updated Jul 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417208224 NPPES
California Other 1932182052 US NAVY TRICARE

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