Kipps, David Leo
Kipps, David Leo is an individual health care provider with primary practice located at 700 Frederick St Ste 203 , Santa Cruz CA 95062. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Kipps, David Leo can be contacted via phone (831) 425-1906.Contact Information
Primary practice address
700 Frederick St Ste 203
Santa Cruz CA 95062
Phone: (831) 425-1906
Fax: (831) 469-8764
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | G33598 | California |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | G33598 | California |
Profile Details
| NPI number | 1972510048 |
|---|---|
| LBN Legal business name | Kipps, David Leo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | May 23rd, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972510048 | NPPES |
| California | MEDICAID | GR0056730 |
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