Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Michael Leenard Shepherd, IDC

Individual provider Independent Duty Corpsman · NPI 1104235431

Mr. Michael Leenard Shepherd, IDC is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

8266 Station Village Ln Apt 2601
San Diego, CA 92108-5590
Phone: (336) 477-4274
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1104235431
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedAugust 12, 2014
Last updated in NPPESAugust 12, 2014

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