Leslie Irazoque-gomez, is a
Day Training/habilitation Specialist based in San Bernardino, California. Leslie Irazoque-gomez is licensed to practice in * (Not Available) (license number ) and her current practice location is
820 E Gilbert St, San Bernardino, California. She can be reached at her office (for appointments etc.) via phone at
(909) 387-7200.
NPI number for Leslie Irazoque-gomez is 1407282221 and her current mailing address is 28673 Berwick Ln, Highland, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407282221.
Healthcare Provider's Profile
| Full Name | Leslie Irazoque-gomez |
|---|
| Gender | Female |
|---|
| Speciality | Day Training/habilitation Specialist |
|---|
| Location | 820 E Gilbert St, San Bernardino, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1407282221
- Provider Enumeration Date: 09/25/2013
- Last Update Date: 04/16/2025
Medical Identifiers
Medical identifiers for Leslie Irazoque-gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407282221 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 373H00000X | Day Training/habilitation Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leslie Irazoque-gomez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Leslie Irazoque-gomez,
28673 Berwick Ln,
Highland, CA 92346-5766
Ph: (909) 232-7200 | Leslie Irazoque-gomez,
820 E Gilbert St,
San Bernardino, CA 92415-3919
Ph: (909) 387-7200 |
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