Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Glenn Neil Ledesma · LEDESMA GLENN NEIL MD | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States | [sources] | |||
First name | Glenn | [sources] | |||
ID Number | 00143411 | [sources] | |||
Last name | Ledesma | [sources] | |||
Middle name | Neil | [sources] | |||
NPI | 1992808281 | [sources] | |||
Registration number | 00G447610 · 00G447611 · 00G447612 · G44761 | [sources] | |||
Sector | Physician | [sources] | |||
Address | P.O. Box 15807, Beverly Hills, CA, 90209-1807 | [sources] | |||
Last change | Last processed | First seen |
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States of America · DHCS
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States of America · OMIG
us-medca-61a177fea5488ade6305a1930af742a22953f88a
· us-medny-604306ebe51216b7512a3b471371597aba791532
For experts: raw data explorer
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United States | Department of Health Care Services | - | - |