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NPI Code Detail

MEDICARE: MS. LESLIE-JEAN LUMBRERAS SANCHEZ PA-C

MEDICARE: MS. LESLIE-JEAN LUMBRERAS SANCHEZ 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
1146D00000XPersonal Emergency Response AttendantPA15635CA
2363A00000XPhysician AssistantPA15635
3363A00000XPhysician AssistantPA15635CA

General Provider Information

NPI Number : 1801949185
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LESLIE-JEAN LUMBRERAS SANCHEZ PA-C
Provider Business Mailing Address
First Line : 823 GATEWAY CENTER WAY
Second Line :
City : SAN DIEGO
State : CA
Zip : 92102-4541
Country : US
Telephone Number : 619-515-2323
Fax Number : 619-906-4564
Provider Business Practice Location Address
First Line : 1809 NATIONAL AVENUE
Second Line : LOGAN HEIGHTS FAMILY HEALTH CENTER
City : SAN DIEGO
State : CA
Zip : 92113-2196
Country : US
Telephone Number : 619-515-2300
Fax Number : 619-234-2447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2007
Last Update Date : 08/24/2023

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