Leslie Alex Konkin, M.D., Inc.

LBN: Leslie Alex Konkin, M.D., Inc.
Leslie Alex Konkin, M.D., Inc. is an health care organization with primary practice located at 1501 Oakdale Rd Ste 301 , Modesto CA 95355-3382. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Leslie Alex Konkin, M.D., Inc. can be contacted via phone (209) 571-5071, or through Konkin, Leslie Alex via phone (209) 571-5071.

Contact Information

Primary practice address
1501 Oakdale Rd Ste 301 Modesto CA 95355-3382
Phone: (209) 571-5071
Fax: (209) 577-1157
Website:
Map and Directions
Authorized official contact:
Name: Konkin, Leslie Alex Doctor of Medicine (MD)
Phone: (209) 571-5071

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G24534 California

Profile Details

NPI number 1427061993
LBN Legal business name Leslie Alex Konkin, M.D., Inc.
DBA Doing business as
Authorized official Konkin, Leslie Alex Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2006
Last updated Oct 17th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427061993 NPPES
California Other ZZZ06639Z GROUP PTAN
California MEDICAID 9703018 GROUP PTAN

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