Leong, Michael G

Leong, Michael G is an individual health care provider with primary practice located at 7223 Church St Suite C1, Highland CA 92346-5869. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Leong, Michael G can be contacted via phone (909) 862-1191.

Contact Information

Primary practice address
7223 Church St Suite C1 Highland CA 92346-5869
Fax: (909) 796-4158
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A48608 California

Profile Details

NPI number 1639125354
LBN Legal business name Leong, Michael G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jun 1st, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639125354 NPPES
California MEDICAID OOA486080

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