Provider Demographics
NPI:1548333669
Name:SHOKES, LESLIE KEITH (MD)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:KEITH
Last Name:SHOKES
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:2703 N BRISTOL ST
Mailing Address - Street 2:H2
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-1457
Mailing Address - Country:US
Mailing Address - Phone:714-648-0335
Mailing Address - Fax:714-648-0348
Practice Address - Street 1:2703 N BRISTOL ST
Practice Address - Street 2:H2
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-1457
Practice Address - Country:US
Practice Address - Phone:714-648-0335
Practice Address - Fax:714-648-0348
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA051726207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
E16649Medicare UPIN