Bryan Leigh, MD | |
675 Camino De Los Mares, San Clemente, CA 92673-2835 | |
(949) 248-4547 | |
Not Available |
Full Name | Bryan Leigh |
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Gender | Male |
Speciality | Radiology - Therapeutic Radiology |
Location | 675 Camino De Los Mares, San Clemente, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407272669 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0203X | Radiology - Therapeutic Radiology | G69981 (California) | Primary |
Entity Name | Dermatology & Laser Center Of San Diego |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457396178 PECOS PAC ID: 5395748669 Enrollment ID: O20060807000479 |
Entity Name | Stephen William Doggett Md Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427281666 PECOS PAC ID: 9830235217 Enrollment ID: O20091015000523 |
Mailing Address | Practice Location Address |
---|---|
Bryan Leigh, MD 4378 Arcadia Dr, San Diego, CA 92103-1306 Ph: (619) 296-7321 | Bryan Leigh, MD 675 Camino De Los Mares, San Clemente, CA 92673-2835 Ph: (949) 248-4547 |
Dr. Jay Gerard Tassin, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 675 Camino De Los Mares, Suite 400, San Clemente, CA 92673 Phone: 949-248-4547 | |
Jeffrey Paul Vargo, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Calle Potranca, San Clemente, CA 92672 Phone: 952-595-1100 Fax: 612-294-4903 |