Individual
DR. VADIM LEYENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
95 MONTGOMERY DR STE 104, SANTA ROSA, CA 95404-6617
(707) 525-2902
(707) 525-2904
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(707) 525-2902
(707) 525-2904
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
522342
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MC-1352
ID
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD184074
OR
207RP1001X
Pulmonary Disease Physician
522342
CA
207RP1001X
Pulmonary Disease Physician
MD184074
OR
207RS0012X
Sleep Medicine (Internal Medicine) Physician
1107
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C154059
STATE MEDICAL LICENSE
CA
Enumeration date
06/13/2005
Last updated
11/14/2025
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