Craychee, Leo Charles

Craychee, Leo Charles is an individual health care provider with primary practice located at 28714 Valley Center Rd #F, Valley Center CA 92082-6554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Craychee, Leo Charles can be contacted via phone (760) 749-7770.

Contact Information

Primary practice address
28714 Valley Center Rd #F Valley Center CA 92082-6554
Phone: (760) 749-7770
Fax: (760) 751-9988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G59127 California

Profile Details

NPI number 1265432710
LBN Legal business name Craychee, Leo Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265432710 NPPES
California MEDICAID 00G591271

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