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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAVID LEOS, PHYSICIAN ASSISTANT

Active

DAVID LEOS, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in CHINA LAKE, California. NPI 1417208224 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CHINA LAKE, CA

Registration Details

NPI Number
1417208224
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2012 (13.889290376419 yrs)
Last Updated
Jul 26, 2021
License
17I0I1002X (CA)

Practice Information

Address
1 ADMINISTRATION CIRCLE BLDG 1403 STOP1311
CHINA LAKE, CA, 93555
Browse CA providers · Browse ZIP 93555
Phone
7607633697
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
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.