Leyenson, Vadim

Leyenson, Vadim is an individual health care provider with primary practice located at 95 Montgomery Dr Ste 104 , Santa Rosa CA 95404-6617. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Leyenson, Vadim can be contacted via phone (707) 525-2902.

Contact Information

Primary practice address
95 Montgomery Dr Ste 104 Santa Rosa CA 95404-6617
Phone: (707) 525-2902
Fax: (707) 525-2904
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MC-1352 Idaho
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 522342 California
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD184074 Oregon
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 522342 California
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 1107 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD184074 Oregon

Profile Details

NPI number 1427052851
LBN Legal business name Leyenson, Vadim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Aug 29th, 2023 - about 3 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 1427052851 NPPES
California Other C154059 STATE MEDICAL LICENSE

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