Provider Demographics
NPI:1508356742
Name:DOWIE, LEAH N
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:N
Last Name:DOWIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 CHILDRENS WAY
Mailing Address - Street 2:MAIL CODE 6001
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4618
Mailing Address - Country:US
Mailing Address - Phone:858-966-5832
Mailing Address - Fax:858-966-8470
Practice Address - Street 1:3665 KEARNY VILLA RD STE 165
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1954
Practice Address - Country:US
Practice Address - Phone:858-966-5832
Practice Address - Fax:858-966-8470
Is Sole Proprietor?:No
Enumeration Date:2018-05-14
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker