Leonard Sydnor

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

1504 Da Nang Dr
Unit C
Coronado, CA 92118-3147

Phone

(719) 246-2667

NPI assigned

May 15, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1073924734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 DA NANG DR",
            "address_2": "UNIT C",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921183147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 DA NANG DR",
            "address_2": "UNIT C",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921183147",
            "telephone_number": "719-246-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYDNOR",
        "first_name": "LEONARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Summers, PH.D., MPH, MSW
• Stephen Sun, DO
• Suzanne M. M. Popp, DDS, Inc
• Svetlana Gentry, NP
• Rachel Tansiongco Swimmer, DMD
• Synergy Orthopedic Specialists, Inc.
• Eric Szu
• Tactical Medical Group Inc.
• Tamsen Professional Services Medical Corporation
• Youssef S Tanagho, MD, MPH

• Independent Duty Corpsman in Coronado, CA
• Providers in Coronado, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.