Individual provider · Type 1 NPI

Leonid Alex Pugach, PA

Surgical Physician Assistant · Richmond, CA

NPI number 1578830253 Active

Practice location

2970 Hilltop Mall Rd, Suite 200
Richmond, CA 94806-1947

Call (510) 724-4586 Map

Fax (510) 724-9247

Mailing address

1055 Dellwood Ct
Brentwood, CA 94513-1841

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X18605 (CA)

Surgical Physician Assistant: Definition to come...

20 other providers at this address

About NPI 1578830253

Leonid Alex Pugach, PA's National Provider Identifier is 1578830253, issued on Nov 22, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Richmond, CA. The record was last updated on Nov 22, 2011.