Healthcare Provider Details

I. General information

NPI: 1730018771
Provider Name (Legal Business Name): LEBLANC CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 SAN PABLO DAM RD
SAN PABLO CA
94806-3919
US

IV. Provider business mailing address

2415 SAN PABLO DAM RD
SAN PABLO CA
94806-3919
US

V. Phone/Fax

Practice location:
  • Phone: 800-707-1852
  • Fax:
Mailing address:
  • Phone: 800-707-1852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SELENA LEBLANC
Title or Position: PROGRAM DIRECTOR
Credential: MA
Phone: 800-707-1852