Leong, Ida G
Leong, Ida G is an individual health care provider with primary practice located at 320 River St , Santa Cruz CA 95060-2723. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Leong, Ida G can be contacted via phone (831) 272-4324.Contact Information
Primary practice address
320 River St
Santa Cruz CA 95060-2723
Phone: (831) 272-4324
Fax: (831) 457-2328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | C38441 | California |
Profile Details
| NPI number | 1447243365 |
|---|---|
| LBN Legal business name | Leong, Ida G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Apr 5th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447243365 | NPPES |
| California | Other | C38441 | MEDICAL LICENSE NO. |
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