Organization
DOCTOR LETA INC.
Active
Organization
DOCTOR LETA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LETA BETH JUSSILA DAOM (CEO)
(831) 239-9326
Entity
Organization
Contact information
Practice address
3335 MISSION DR, SANTA CRUZ, CA 95065-1827
(831) 222-0189
(831) 428-0101
Mailing address
3614 PORTER GULCH RD, APTOS, CA 95003-2708
(831) 239-9326
(831) 428-0101
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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