| Steven J. Leib, M.d., Inc | |
|
5610 Scotts Valley Dr Suite A Scotts Valley CA 95066-3476 | |
| (831) 438-9141 | |
| (831) 438-2030 |
| Full Name | Steven J. Leib, M.d., Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5610 Scotts Valley Dr, Scotts Valley, California |
| Authorized Official Name and Position | Steven Leib (PRESIDENT) |
| Authorized Official Contact | 8314389141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven J. Leib, M.d., Inc 5610 Scotts Valley Dr Suite A Scotts Valley CA 95066-3476 Ph: (831) 438-9141 | Steven J. Leib, M.d., Inc 5610 Scotts Valley Dr Suite A Scotts Valley CA 95066-3476 Ph: (831) 438-9141 |
| NPI Number | 1811197999 |
|---|---|
| Provider Enumeration Date | 07/18/2007 |
| Last Update Date | 07/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811197999 | NPI | - | NPPES |
| 00G416080 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 00G416080 (California) | Primary |
Mercy Gate Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1580 Lockhart Gulch Rd, Scotts Valley, CA 95066 Phone: 541-908-2316 |