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NPI Code Detail

MEDICARE: DR. LESLIE ANN FUCHS M.D.

MEDICARE: DR. LESLIE ANN FUCHS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianG70089CA

General Provider Information

NPI Number : 1346271947
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LESLIE ANN FUCHS M.D.
Provider Business Mailing Address
First Line : 629 OAKLAND AVE
Second Line : TOWNHOUSE/BAY AREA COMMUNITY SERVICES
City : OAKLAND
State : CA
Zip : 94611-4567
Country : US
Telephone Number : 510-658-9480
Fax Number :
Provider Business Practice Location Address
First Line : 629 OAKLAND AVE
Second Line : TOWNHOUSE/BAY AREA COMMUNITY SERVICES
City : OAKLAND
State : CA
Zip : 94611-4567
Country : US
Telephone Number : 510-658-9480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 09/04/2013

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