Individual
JOHNATHON DAVID LEIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
5998 ALCALA PARK, SAN DIEGO, CA 92110-2492
(619) 260-2308
Mailing address
7911 ARLINGTON AVE APT 119, RIVERSIDE, CA 92503-0423
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000027269
CA
Other
Enumeration date
05/27/2017
Last updated
06/12/2023
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