Ma, Leonard Wong

Ma, Leonard Wong is an sole proprietor health care provider with primary practice located at 411 Primrose Rd , Burlingame CA 94010-4009. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ma, Leonard Wong can be contacted via phone (650) 344-3112.

Contact Information

Primary practice address
411 Primrose Rd Burlingame CA 94010-4009
Phone: (650) 344-3112
Fax: (650) 344-7218
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X CA6501 California

Profile Details

NPI number 1427058684
LBN Legal business name Ma, Leonard Wong
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Oct 2nd, 2008 - about 17 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 1427058684 NPPES
California Other CA6501 STATE LICENSE NUMBER
California MEDICAID SD0065010 STATE LICENSE NUMBER

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