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Contact Information

DAVID LEOS, PHYSICIAN ASSISTANT
1 ADMINISTRATION CIRCLE BLDG 1403 STOP1311
CHINA LAKE, CA93555
 Phone: 760-763-3697
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DAVID LEOS · (Male)

NPI # 1417208224
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 09/20/2012
Last updated 05/08/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • CA Other 1932182052 US NAVY TRICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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