| David Leos, PHYSICIAN ASSISTANT | |
|
1 Administration Circle Bldg 1403 Stop1311, China Lake, CA 93555 | |
| (760) 763-3697 | |
| Not Available |
| Full Name | David Leos |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 1 Administration Circle Bldg 1403 Stop1311, China Lake, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417208224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Scripps Memorial Hospital - Encinitas | Encinitas, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jurkowski Medical Corporation | 7911155304 | 16 |
| Two Zeds Medical Corporation | 7810291291 | 14 |
| Entity Name | Jurkowski Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750644258 PECOS PAC ID: 7911155304 Enrollment ID: O20120910000256 |
| Entity Name | Two Zeds Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275909434 PECOS PAC ID: 7810291291 Enrollment ID: O20160204001332 |
| Entity Name | On Site Dermatology of California, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154842771 PECOS PAC ID: 8426323858 Enrollment ID: O20171010003034 |
| Entity Name | Encinitas Emergency Medicine Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598362568 PECOS PAC ID: 1951711357 Enrollment ID: O20201112002457 |
| Mailing Address | Practice Location Address |
|---|---|
| David Leos, PHYSICIAN ASSISTANT Adult Medical Care Clinic, 1546 6th Street, Twentynine Palms, CA 92277 Ph: (760) 830-2621 | David Leos, PHYSICIAN ASSISTANT 1 Administration Circle Bldg 1403 Stop1311, China Lake, CA 93555 Ph: (760) 763-3697 |