NPI

Jessica Jo Lieland

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
P.A.
Type
Individual
Enumeration date
2009-08-06
Last updated
2026-05-20

Specialties

Licenses

License CA
PA20448

Location

Practice location
6627 Bay Laurel Place A
City
Avila Beach CA
Postal code
93424-0490
Phone
(805) 540-3071

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Avila Beach, CA. 22 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

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