Individual
LESLIE A. KONKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 OAKDALE RD STE 301, MODESTO, CA 95355-3382
(209) 571-5071
(209) 577-1157
Mailing address
PO BOX 576158, MODESTO, CA 95357-6158
(209) 605-6469
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G24534
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G245341
INDIVIDUAL PTAN
CA
05
—
9703018
—
CA
Enumeration date
08/14/2006
Last updated
04/05/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us