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NPI Code Detail

MEDICARE: LEAH HENDRIX CERT PEER

MEDICARE: LEAH HENDRIX CERT PEER
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
1175T00000XPeer SpecialistCMPSS-SCNVHQCA

General Provider Information

NPI Number : 1689523714
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH HENDRIX CERT PEER
Provider Business Mailing Address
First Line : 1820 J ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95811-3010
Country : US
Telephone Number : 916-737-5555
Fax Number :
Provider Business Practice Location Address
First Line : 1820 J ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95811-3010
Country : US
Telephone Number : 916-737-5555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “ LEAH HENDRIX CERT PEER” Practice Location

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