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NPI Code Detail

MEDICARE: RICHARD STEPHEN LEBANO MD

MEDICARE: RICHARD STEPHEN LEBANO MD
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
1207Q00000XFamily Medicine PhysicianA144324CA

General Provider Information

NPI Number : 1649512310
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD STEPHEN LEBANO MD
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 :
Fax Number :
Provider Business Practice Location Address
First Line : 7740 EL CAMINO REAL STE F
Second Line :
City : CARLSBAD
State : CA
Zip : 92009-8514
Country : US
Telephone Number : 888-663-6331
Fax Number : 415-252-7176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2013
Last Update Date : 03/26/2026

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Directions to “ RICHARD STEPHEN LEBANO MD” Practice Location

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