Healthcare Provider Details

I. General information

NPI: 1336359181
Provider Name (Legal Business Name): LESLIE NEFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 01/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3142 VISTA WAY SUITE 207
OCEANSIDE CA
92056-3619
US

IV. Provider business mailing address

3020 CHILREN'S WAY MC 5016
SAN DIEGO CA
92123
US

V. Phone/Fax

Practice location:
  • Phone: 760-967-7082
  • Fax:
Mailing address:
  • Phone: 858-576-1700
  • Fax: 858-966-7508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: