Provider Demographics
NPI:1447228267
Name:BEGGS, LELAND KEITH (MD)
Entity Type:Individual
Prefix:DR
First Name:LELAND
Middle Name:KEITH
Last Name:BEGGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:325 HIGH SIERRA DR
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:CA
Mailing Address - Zip Code:93221-9505
Mailing Address - Country:US
Mailing Address - Phone:559-737-2017
Mailing Address - Fax:559-624-1327
Practice Address - Street 1:200 W ARBOR DR
Practice Address - Street 2:MAIL CODE
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-9000
Practice Address - Country:US
Practice Address - Phone:951-331-2352
Practice Address - Fax:951-331-2211
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG42406207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G424060Medicaid
CA1447228267OtherMEDICARE RENDERING NPI
CA1821197864Medicaid
CAA48945Medicare UPIN
CA1821197864Medicaid