Most Relevant Information
Provider Data
| NPI Number: | 1003462441 |
| Provider Name: | LEAH BOGOPULSKY LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 25670 |
Most Important Dates
| Enumeration Date: | 08/12/2019 |
| Last Updated: | 08/12/2019 |
Provider Practice Location
3020 CHILDRENS WAY # 5100
SAN DIEGO
CA
921234223
Practice Location Phone/Fax
| Phone: | 8589661700 |
| Fax: |
Provider Mailing Location
3020 CHILDRENS WAY # MC5100
SAN DIEGO
CA
921234282
Provider Mailing Phone/Fax
| Phone: | 8585761700 |
| Fax: |