Search › California › 103TC0700X
Justin Leazenby
NPI 1275997579 · on the registry since 2016 · sole proprietor
Practice
- Address
- 60 29th St # 512
San Francisco, CA 94110 - Phone
- (916) 314-3264
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-02
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