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General NPI Number Information
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NPI Number | 1548355118
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Entity Type | Individual
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Provider Name | LEIGH MITCHELL ALLEN MD
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 12/08/2021
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Provider Practice Location Address
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Address Line | 2425 GEARY BLVD ROOM M115
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3358
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Country | US
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Telephone | 415-833-9956
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Fax |
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Provider Business Mailing Address
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Address Line | 744 LAKE ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1227
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Country | US
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Telephone | 415-933-9636
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Fax |
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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 | A74343
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License Number State | CA
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