Dominique Rosa Leslie, is a
Community Health Worker based in San Francisco, California. Dominique Rosa Leslie is licensed to practice in * (Not Available) (license number ) and her current practice location is
835 Hyde St, San Francisco, California. She can be reached at her office (for appointments etc.) via phone at
(628) 235-4366.
NPI number for Dominique Rosa Leslie is 1215533799 and her current mailing address is 1049 Howard St, San Francisco, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215533799.
Healthcare Provider's Profile
Full Name | Dominique Rosa Leslie |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 835 Hyde St, San Francisco, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215533799
- Provider Enumeration Date: 12/09/2020
- Last Update Date: 12/11/2020
Medical Identifiers
Medical identifiers for Dominique Rosa Leslie such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215533799 | NPI | - | NPPES |
94-2335626 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 390200000X (California) | Secondary |
172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dominique Rosa Leslie is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dominique Rosa Leslie, 1049 Howard St, San Francisco, CA 94103-2822 Ph: (628) 235-4366 | Dominique Rosa Leslie, 835 Hyde St, San Francisco, CA 94109-5927 Ph: (628) 235-4366 |
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