Healthcare Provider Details

I. General information

NPI: 1023107174
Provider Name (Legal Business Name): STEVEN LEINER NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 SHOTWELL ST
SAN FRANCISCO CA
94110-1323
US

IV. Provider business mailing address

1379 45TH AVE
SAN FRANCISCO CA
94122-1108
US

V. Phone/Fax

Practice location:
  • Phone: 415-552-3870
  • Fax: 415-552-3446
Mailing address:
  • Phone: 415-759-5528
  • Fax: 415-552-3446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN409463
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: