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NPI Code Detail

MEDICARE: ALEXANDRA LEITTEN PA-C

MEDICARE: ALEXANDRA LEITTEN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant0110011250VA
2363A00000XPhysician Assistant9289GA

General Provider Information

NPI Number : 1134775851
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA LEITTEN PA-C
Provider Business Mailing Address
First Line : 1 EMBARCADERO CTR STE 1900
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94111-3723
Country : US
Telephone Number : 415-658-6791
Fax Number : 415-252-7176
Provider Business Practice Location Address
First Line : 1775 TYSONS BLVD STE 300
Second Line :
City : MC LEAN
State : VA
Zip : 22102-4285
Country : US
Telephone Number : 888-663-6331
Fax Number : 415-252-7176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2019
Last Update Date : 09/29/2025

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Directions to “ ALEXANDRA LEITTEN PA-C” Practice Location

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