Individual
JAMIE LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26800 CROWN VALLEY PKWY STE 525, MISSION VIEJO, CA 92691
(949) 364-1040
Mailing address
26800 CROWN VALLEY PKWY STE 525, MISSION VIEJO, CA 92691-8029
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A145137
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/23/2014
Last updated
01/20/2021
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