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General NPI Number Information
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NPI Number | 1023217718
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Entity Type | Individual
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Provider Name | HEATHER LEIGH DAUGHTERS MD
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Gender | Female
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 06/12/2013
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Provider Practice Location Address
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Address Line | 1650 CREEKSIDE DRIVE
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City | FOLSOM
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State | CA
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Zip | 95630
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Country | US
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Telephone | 916-983-7561
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Fax | 916-984-7392
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Provider Business Mailing Address
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Address Line | PO BOX 1809
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City | ORANGE
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State | CA
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Zip | 92856-0809
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Country | US
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Telephone | 714-560-1580
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Fax | 714-560-1585
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5730
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A107834
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License Number State | CA
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