Healthcare Provider Details

I. General information

NPI: 1225001027
Provider Name (Legal Business Name): THOMAS D LEI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 06/28/2021
Certification Date: 06/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 JOSE FIGUERES AVE STE 230
SAN JOSE CA
95116-1586
US

IV. Provider business mailing address

PO BOX 46
LOS ALTOS CA
94023-0046
US

V. Phone/Fax

Practice location:
  • Phone: 408-279-1186
  • Fax: 408-926-9247
Mailing address:
  • Phone: 408-279-1186
  • Fax: 408-926-9247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA78558
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberA78558
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA78558
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: