| Leland E Watkins M D Inc | |
|
1818 Verdugo Blvd Suite 108 Glendale CA 91208-1403 | |
| (818) 790-1145 | |
| (818) 790-6387 |
| Full Name | Leland E Watkins M D Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1818 Verdugo Blvd, Glendale, California |
| Authorized Official Name and Position | Adriana Veda Shepherd (OFFICE MANAGER) |
| Authorized Official Contact | 8187901145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leland E Watkins M D Inc 1818 Verdugo Blvd Suite 108 Glendale CA 91208-1403 Ph: (818) 790-1145 | Leland E Watkins M D Inc 1818 Verdugo Blvd Suite 108 Glendale CA 91208-1403 Ph: (818) 790-1145 |
| NPI Number | 1063601888 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 09/02/2020 |
| Medicare PECOS PAC ID | 9032398987 |
|---|---|
| Medicare Enrollment ID | O20110124001051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063601888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G30953 (California) | Primary |
| Provider Name | Leland E Watkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528094430 PECOS PAC ID: 8022297977 Enrollment ID: I20110124001080 |
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