person
Dr. Leonard Reynold Costantini IV, DO
General Practice Physician in San Diego, California
NPI 1700266764

Leonard Reynold Costantini IV is a General Practice Physician based in San Diego, CA. Leonard Reynold Costantini IV practices in San Diego, CA and has the professional credentials of DO. The NPI Number for Leonard Reynold Costantini IV is 1700266764 and holds a License No. (California).

The current practice location address for Leonard Reynold Costantini IV is Naval Medical Center San Diego, San Diego, CA and can be reached out via phone at 619-532-9795 and via fax at 619-532-7508.

Location: Naval Medical Center San Diego, San Diego, CA, 92134-0001
person
Provider Profile Details
NPI Number
1700266764
Provider Name
Leonard Reynold Costantini IV
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
Naval Medical Center San Diego, San Diego, CA, 92134-0001
Phone Number
619-532-9795
Fax Number
619-532-7508
Provider Enumeration Date
06/04/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Naval Medical Center San Diego
City
State
Zip
92134-0001
Phone Number
619-532-9795
Fax Number
619-532-7508
person
Provider Business Mailing Address Details
Address
Naval Medical Center San Diego
City
State
Zip
92134-0001
Phone Number
619-532-9795
Fax Number
619-532-7508
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
17054 (California)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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