Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LEON KOENCK, PA C
ActiveMR. LEON KOENCK, PA C is a Physician Assistant healthcare provider located in GUALALA, California. NPI 1164555769 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GUALALA, CA
Registration Details
- NPI Number
- 1164555769
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 13, 2007 (19.398560652707 yrs)
- Last Updated
- Feb 2, 2016
- Licenses
-
270 (AK)PA19714 (CA)PA 10003212 (WA)PA19714 (CA)PA10003212 (WA)
Practice Information
- Address
-
46900 OCEAN DRSTE 1100GUALALA, CA, 954458353Browse CA providers · Browse ZIP 95445
- Phone
- 7078844005
- Fax
- 7078844625
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Other Physician Assistant Providers in GUALALA, CA
| Name | Credential | NPI |
|---|---|---|
| LAUNDON TRANSUE | — | 1316644917 |
| STEPHANIE HSIEH | — | 1720868045 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.