Provider Demographics
NPI:1740467083
Name:LEAH FARINAS SURGICAL SERVICES INC
Entity type:Organization
Organization Name:LEAH FARINAS SURGICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:P
Authorized Official - Last Name:FARINAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-522-2900
Mailing Address - Street 1:6699 ALVARADO RD STE 2210
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-5240
Mailing Address - Country:US
Mailing Address - Phone:619-522-2900
Mailing Address - Fax:619-923-4000
Practice Address - Street 1:6699 ALVARADO RD STE 2210
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-5240
Practice Address - Country:US
Practice Address - Phone:619-522-2900
Practice Address - Fax:619-923-4000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA88077174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A880770Medicaid
CAH04590Medicare UPIN
CA00A880770Medicaid