DR. LEONARD JOSEPH WESTON


Address: 42525 Rancho Mirage Lane, 5682 The Historic Plaza, 29 Palms, CA 92277-1743
Phone: 7603670411

DR. LEONARD JOSEPH WESTON (NPI# 1073665113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073665113
Entity Type Individual
Full Name DR. LEONARD JOSEPH WESTON
Other Name LEONARD JOSEPH PUNG SR.
Credential PH D
Practice Address 42525 Rancho Mirage Lane
5682 The Historic Plaza
29 Palms
CA 92277-1743
Mailing Address 72 810 Ambrosia Street
Palm Desert
CA 92260-5971
Practice Telephone 7603670411
Practice Fax Number 7603411333
Mailing Telephone 7608802002
Mailing Fax Number 7603411333
Enumeration Date 2007-01-17
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY 5789 CA Behavioral Health & Social Service Providers

Office Location

Street Address 42525 RANCHO MIRAGE LANE
5682 THE HISTORIC PLAZA
City 29 PALMS
State CA
Zip Code 92277-1743

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023168242 William H Blau Psychologist 6528a Hillside Avenue, 29 Palms, CA 92277 2007-01-11

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NPI Name Taxonomy Address Enumeration
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1851990626 Sarah R Martin Psychologist 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 2020-10-22
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1588261580 Pamela J Newman Psychologist 3737 Elderberry Gln, Escondido, CA 92025-7910 2020-10-04
1689271785 Michelle Sullivan Psychologist 2419 44th Ave, San Francisco, CA 94116-2062 2020-10-02
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Competitor

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City 29 PALMS
Zip Code 92277

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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