Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 148437 | CA |
N | 111NI0900X | Internist | 148437 | CA |
N | 207R00000X | Internist | 229314 | NY |
N | 111NI0900X | Internist | 229314 | NY |
Y | 207RH0002X | Hospice and Palliative Medicine | 148437 | CA |
NPI | 1033152616 |
---|---|
Provider Name | Dr. Leslie J Tuchman |
First Address | Encinitas, CA 92024-5268 |
Second Address | San Diego, CA 92127-1908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 13/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0244131 | (05) | NY |