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Individual

JEFFERY J LEINEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2100 POWELL ST STE 900, EMERYVILLE, CA 94608-1844
(510) 350-2600
Mailing address
2100 POWELL ST STE 900, EMERYVILLE, CA 94608-1844
(510) 350-2600

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C51510
CA
207P00000X
Emergency Medicine Physician
Primary
MD60924945
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C515100
CA
Enumeration date
04/26/2006
Last updated
11/26/2019
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