Provider Demographics
NPI:1336920511
Name:LESHEN, AIDA ABAD
Entity Type:Individual
Prefix:
First Name:AIDA
Middle Name:ABAD
Last Name:LESHEN
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 1:4000 STOCKDALE HWY STE D
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-2059
Mailing Address - Country:US
Mailing Address - Phone:661-325-7452
Mailing Address - Fax:
Practice Address - Street 1:4000 STOCKDALE HWY STE D
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-2059
Practice Address - Country:US
Practice Address - Phone:661-325-7452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95027664363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily