| Jennifer Leoniak D.o., Inc | |
|
920 Delbon Ave Turlock CA 95382-2019 | |
| (209) 208-0923 | |
| (209) 748-4850 |
| Full Name | Jennifer Leoniak D.o., Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 920 Delbon Ave, Turlock, California |
| Authorized Official Name and Position | Jamie Dole (MANGER) |
| Authorized Official Contact | 2095754575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Leoniak D.o., Inc Po Box 4978 Modesto CA 95352-4978 Ph: (209) 575-4575 | Jennifer Leoniak D.o., Inc 920 Delbon Ave Turlock CA 95382-2019 Ph: (209) 208-0923 |
| NPI Number | 1235510710 |
|---|---|
| Provider Enumeration Date | 06/10/2015 |
| Last Update Date | 03/27/2025 |
| Medicare PECOS PAC ID | 3779898606 |
|---|---|
| Medicare Enrollment ID | O20150820011398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235510710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 13410 (California) | Primary |
| Provider Name | Jennifer L Leoniak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588808703 PECOS PAC ID: 0941420939 Enrollment ID: I20140924002607 |
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