Look up the most recent NPI and PECOS records

Kimberly B Leek

Pediatrics

Allopathic & Osteopathic Physicians

7910 Frost St., Suite 350, San Diego, CA 92123-2753

PECOS Enrollment

This provider is enrolled in PECOS as KIMBERLY LEEK.

Based on the most recent information from CMS, provider Kimberly B Leek is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 2:29 PM.

Profile Details

Provider ID
1417113168
Provider Type
Individual
Full Name
Leek, Kimberly B
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/1/2008
Last Updated
3/27/2015

Contact Information

Practice Location

7910 Frost St., Suite 350, San Diego, CA 92123-2753

(858) 496-4800

(858) 496-4850

Mailing Location

3860 Calle Fortunada, Suite 200, San Diego, CA 92123-4802

(858) 502-1135

(858) 636-4319

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License A99997 California

Kimberly B Leek

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Durocher, Marc Alain

Manuel, Peggy L

Todd, Sarah Catherine

Graff, Nancy

Hsieh, Leslie Q

Tygart, Melissa Kathleen

Patel, Siri J

Colina, Kenneth F

Gollub, Norman A.

Earley, Samantha Quinn