Dr David W Leece, MD | |
35 Casa St, Suite 170, San Luis Obispo, CA 93405-1818 | |
(805) 540-5035 | |
(805) 540-5036 |
Full Name | Dr David W Leece |
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Gender | Male |
Speciality | Family Medicine |
Location | 35 Casa St, San Luis Obispo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528037561 | NPI | - | NPPES |
00G613150 | Medicaid | CA | |
00G613150 | Other | CA | BLUE SHIELD OF CALIFORNIA |
G61315 | Other | CA | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G61315 (California) | Primary |
Entity Name | Coastal Communities Physician Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275735011 PECOS PAC ID: 1951614775 Enrollment ID: O20150723008464 |
Mailing Address | Practice Location Address |
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Dr David W Leece, MD 35 Casa St, Suite 170, San Luis Obispo, CA 93405-1818 Ph: (805) 540-5035 | Dr David W Leece, MD 35 Casa St, Suite 170, San Luis Obispo, CA 93405-1818 Ph: (805) 540-5035 |
Michael Angelo Viggianelli, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Hwy 1 California Mens Colony, San Luis Obispo, CA 93409 Phone: 805-547-7911 | |
Jacqueline Nicole Mariano Gallardo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 892 Aerovista Pl Ste 210, San Luis Obispo, CA 93401 Phone: 805-549-8023 Fax: 805-549-8252 | |
George S Kienle, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1555 Higuera St, San Luis Obispo, CA 93401 Phone: 805-543-4043 Fax: 805-543-4427 | |
Lisa Brazil, C.F.N.P. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 35 Casa St Ste 320, San Luis Obispo, CA 93405 Phone: 805-250-4844 Fax: 057-850-3568 | |
Rodolfo Castillo-ruiz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1551 Bishop St, 160, San Luis Obispo, CA 93401 Phone: 805-269-1500 Fax: 805-269-1585 | |
Dr. Jonathan Stanley Hamrick, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 47 Santa Rosa St, 47 Santa Rosa, San Luis Obispo, CA 93405 Phone: 805-542-9956 Fax: 805-594-1436 | |
Dr. Richard V Ascoli, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Grand Ave, San Luis Obispo, CA 93407 Phone: 805-756-1211 Fax: 805-756-5298 |