Basic Information
Provider Information
NPI: 1083630594
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SPIELER
FirstName: LEAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 EMBARCADERO CTR STE 1900
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941113723
CountryCode: US
TelephoneNumber: 4156586791
FaxNumber: 4155200904
Practice Location
Address1: 1333 POWELL ST STE A103
Address2:  
City: EMERYVILLE
State: CA
PostalCode: 946082598
CountryCode: US
TelephoneNumber: 5102251000
FaxNumber: 5102251019
Other Information
ProviderEnumerationDate: 07/15/2006
LastUpdateDate: 11/22/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X237707NYN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X142148CAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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