Provider Demographics
NPI:1235868894
Name:LEIGGI, CHINA (PA)
Entity Type:Individual
Prefix:
First Name:CHINA
Middle Name:
Last Name:LEIGGI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2673 CRYSTAL QUARTZ ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-5491
Mailing Address - Country:US
Mailing Address - Phone:808-551-9051
Mailing Address - Fax:
Practice Address - Street 1:9089 S PECOS RD STE 3500
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7185
Practice Address - Country:US
Practice Address - Phone:702-550-7025
Practice Address - Fax:702-550-7561
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-08
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
NVPA2843363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant