Basic Information
Provider Information
NPI: 1154434421
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CATALDO
FirstName: LEIGH
MiddleName: M.
NamePrefix:  
NameSuffix:  
Credential: N.P.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10790 RANCHO BERNARDO RD
Address2:  
City: SAN DIEGO
State: CA
PostalCode: 921275705
CountryCode: US
TelephoneNumber: 8587643000
FaxNumber:  
Practice Location
Address1: 3811 VALLEY CENTRE DR
Address2:  
City: SAN DIEGO
State: CA
PostalCode: 921303318
CountryCode: US
TelephoneNumber: 8587649080
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/17/2006
LastUpdateDate: 10/17/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN608762CAN Nursing Service ProvidersRegistered Nurse 
363L00000XNPF16660CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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