Frederic J Leong Md Inc

LBN: Frederic J Leong Md Inc
Frederic J Leong Md Inc is an health care organization with primary practice located at 555 Marin St. Suite #220, Thousand Oaks CA 91360. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as the primary health care specialty. Frederic J Leong Md Inc can be contacted via phone (805) 497-7214, or through Waite, Patricia Ann via phone (805) 497-7214.

Contact Information

Primary practice address
555 Marin St. Suite #220 Thousand Oaks CA 91360
Fax: (805) 497-0864
Website:
Authorized official contact:
Name: Waite, Patricia Ann

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X G71490 California

Profile Details

NPI number 1801953237
LBN Legal business name Frederic J Leong Md Inc
DBA Doing business as
Authorized official Waite, Patricia Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated Jan 12th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801953237 NPPES
California MEDICAID 00G714901

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