Mr. Leon Koenck, PAC
Mr. Leon Koenck, PAC is a Physician Assistant in Gualala, California. Licensed in Alaska, California and Washington. Registered with an NPI since 2007.
- Licensed in
- AK, CA, WA
- In the registry since
- 2007
- Specialties on file
- 5
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
46900 Ocean Dr Ste 1100Gualala, CA 95445-8353
Phone: (707) 884-4005
Fax: (707) 884-4625
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA19714 (CA) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 270 (AK) |
| Physician Assistant | Taxonomy 363A00000X · Licence PA 10003212 (WA) |
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PA19714 (CA) |
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PA10003212 (WA) |
Record details
| NPI number | 1164555769 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PAC |
| Sole proprietor | No |
| NPI enumerated | March 13, 2007 |
| Last updated in NPPES | February 2, 2016 |
Other providers in Gualala
-
Stephanie Hsieh
38001 Old Stage Rd, Gualala, CA 95445-8543 · (707) 412-3176
-
Laundon Transue
46900 Ocean Dr, Gualala, CA 95445 · (707) 884-4005