Most Relevant Information
Provider Data
| NPI Number: | 1003174897 |
| Provider Name: | MARK-NEIL LEDESMA M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/30/2012 |
| Last Updated: | 09/26/2019 |
Provider Practice Location
31700 TEMECULA PKWY
TEMECULA
CA
925925896
Practice Location Phone/Fax
| Phone: | 8014322600 |
| Fax: |
Provider Mailing Location
40136 VILLAGE RD APT 1824
TEMECULA
CA
925913537
Provider Mailing Phone/Fax
| Phone: | 9517642928 |
| Fax: |