Provider Demographics
NPI:1780157073
Name:LEIGH, MERCEDES G (DC)
Entity type:Individual
Prefix:
First Name:MERCEDES
Middle Name:G
Last Name:LEIGH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 MONUMENT BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-3954
Mailing Address - Country:US
Mailing Address - Phone:925-676-8200
Mailing Address - Fax:925-674-9222
Practice Address - Street 1:2350 MONUMENT BLVD
Practice Address - Street 2:STE C
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-3954
Practice Address - Country:US
Practice Address - Phone:925-676-8200
Practice Address - Fax:925-674-9222
Is Sole Proprietor?:No
Enumeration Date:2019-01-09
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34213111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor