Healthcare Provider Details

I. General information

NPI: 1407212681
Provider Name (Legal Business Name): LEAH ANN BESH PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2016
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10121 PINE AVE
TRUCKEE CA
96161-4835
US

IV. Provider business mailing address

10121 PINE AVE
TRUCKEE CA
96161-4835
US

V. Phone/Fax

Practice location:
  • Phone: 530-582-6492
  • Fax:
Mailing address:
  • Phone: 530-582-6492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number104248
License Number StateAK
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA68220
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: