Provider Demographics
NPI:1932355310
Name:LEYKINA, DIANA YEVSEYEVNA (MD)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:YEVSEYEVNA
Last Name:LEYKINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2299 POST ST
Mailing Address - Street 2:SUITE NUMBER #305
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3441
Mailing Address - Country:US
Mailing Address - Phone:415-928-0134
Mailing Address - Fax:
Practice Address - Street 1:2299 POST ST
Practice Address - Street 2:SUITE NUMBER #305
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3441
Practice Address - Country:US
Practice Address - Phone:415-928-0134
Practice Address - Fax:415-928-1832
Is Sole Proprietor?:No
Enumeration Date:2008-08-17
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA104868207Q00000X, 208000000X, 208D00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine