Provider Demographics
NPI:1801949185
Name:SANCHEZ, LESLIE-JEAN LUMBRERAS (PA-C)
Entity type:Individual
Prefix:MS
First Name:LESLIE-JEAN
Middle Name:LUMBRERAS
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:LESLIE-JEAN
Other - Middle Name:PRESA
Other - Last Name:LUMBRERAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:823 GATEWAY CENTER WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92102-4541
Mailing Address - Country:US
Mailing Address - Phone:619-515-2323
Mailing Address - Fax:619-906-4564
Practice Address - Street 1:1809 NATIONAL AVENUE
Practice Address - Street 2:LOGAN HEIGHTS FAMILY HEALTH CENTER
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92113-2196
Practice Address - Country:US
Practice Address - Phone:619-515-2300
Practice Address - Fax:619-234-2447
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA15635146D00000X, 363A00000X
PA15635363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant