Provider Demographics
NPI:1578738035
Name:LEU, ADELHEID KATHARINA (HHP)
Entity Type:Individual
Prefix:
First Name:ADELHEID
Middle Name:KATHARINA
Last Name:LEU
Suffix:
Gender:F
Credentials:HHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 CAMINO DEL MAR
Mailing Address - Street 2:212
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-2640
Mailing Address - Country:US
Mailing Address - Phone:858-792-5494
Mailing Address - Fax:
Practice Address - Street 1:1011 CAMINO DEL MAR
Practice Address - Street 2:212
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-2640
Practice Address - Country:US
Practice Address - Phone:858-792-5494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-25
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3218174400000X, 225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist