Individual
DENNIS R LEAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1955 W CITRACADO PKWY, SUITE 300, ESCONDIDO, CA 92029-4113
(760) 743-0546
(760) 743-8837
Mailing address
PO BOX 28199, SAN DIEGO, CA 92198-0199
(858) 673-2574
(858) 618-1523
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G29437
CA
207RI0011X
Interventional Cardiology Physician
Primary
G29437
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060020690
RR MEDICARE
—
05
—
1619970480
—
CA
Enumeration date
05/24/2005
Last updated
10/08/2012
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