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Search › California › Physician Assistant

Leon Koenck, PA C

NPI 1164555769 · on the registry since 2007

Practice

Address
46900 Ocean Dr
Ste 1100
Gualala, CA 95445
Phone
(707) 884-4005
Fax
(707) 884-4625
Organisation at this address
Redwood Coast Medical Services, Inc.
Northern California Medical Assoc Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Also registered as
Physician Assistant
Physician Assistant
Medical Physician Assistant
Medical Physician Assistant
Licence states on file
AK, CA, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-02-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California