Individual
DR. LEONARD REYNOLD COSTANTINI IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134-0001
(619) 532-9795
(619) 532-7508
Mailing address
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134-0001
(619) 532-9795
(619) 532-7508
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
17054
CA
Other
Enumeration date
06/04/2015
Last updated
08/01/2023
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