Individual
LEIF DAVID ERIKSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2333 BUCHANAN ST, SAN FRANCISCO, CA 94115-1925
(209) 342-2300
(209) 524-4240
Mailing address
4301 NORTHSTAR WAY, MODESTO, CA 95356-9262
(209) 342-2300
(209) 524-4240
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G85576
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OOG855760
BLUE SHIELD
CA
05
—
OOG855760
—
CA
Enumeration date
11/03/2005
Last updated
07/08/2007
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