Ko, Leslie Susan

Ko, Leslie Susan is an sole proprietor health care provider with primary practice located at 1611 San Pablo Ave Ste 1 , Berkeley CA 94702-1367. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Ko, Leslie Susan can be contacted via phone (916) 416-0491.

Contact Information

Primary practice address
1611 San Pablo Ave Ste 1 Berkeley CA 94702-1367
Phone: (916) 416-0491
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 327 California

Profile Details

NPI number 1457856965
LBN Legal business name Ko, Leslie Susan
Credentials LCMT, BCTMB
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2018
Last updated Mar 30th, 2025 - about last year

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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