Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | C31564 | CA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | C31564 | CA |
NPI | 1326004730 |
---|---|
Provider Name | Arnold Sterne Leff |
First Address | Santa Cruz, CA 95060-1966 |
Second Address | San Jose, CA 95128-2625 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 07/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00C315640 | (05) | CA |
A34620 | (02) | CA |