Marc Robert Lebed, MD
Individual provider Active NPI Maternal & Fetal Medicine Physician · Shell Beach, CA
NPI 1740401652 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1740401652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Maternal & Fetal Medicine Physician 207VM0101X
- License
- G40402 (CA)
- Practice address
- 387 Miramar LN
Shell Beach, CA 93449-1542 - Phone
- (805) 773-5661
- Fax
- (805) 773-8029
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G40402 | CA | MD | Maternal & Fetal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | G40402 | CA | Yes |
Addresses
Primary practice location
387 Miramar LN
Shell Beach, CA 93449-1542
Mailing address
387 Miramar LN
Shell Beach, CA 93449-1542
Phone (805) 773-5661
Other providers in Shell Beach, CA
- County of San Luis Obispo
- Family Care Network, Inc
- Julie Garcia
- Johnnie Ham
- Joint Venture Central Coast Addiction Services, Inc
- Daniel Marcoux
- Susan S. Schommer
All providers in Shell Beach, CA · Maternal & Fetal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.