person
Dr. Ida G Leong, MD
General Practice Physician in Santa Cruz, California
NPI 1447243365

Ida G Leong is a General Practice Physician based in Santa Cruz, CA. Ida G Leong practices in Santa Cruz, CA and has the professional credentials of MD. The NPI Number for Ida G Leong is 1447243365 and holds a License No. C38441 (California).

The current practice location address for Ida G Leong is 320 River St, Santa Cruz, CA and can be reached out via phone at 831-272-4324 and via fax at 831-457-2328.

Location: 320 River St, Santa Cruz, CA, 95060-3147
person
Provider Profile Details
NPI Number
1447243365
Provider Name
Ida G Leong
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
320 River St, Santa Cruz, CA, 95060-3147
Phone Number
831-272-4324
Fax Number
831-457-2328
Provider Enumeration Date
08/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C38441 01 CA MEDICAL LICENSE NO.
institution
Provider Business Practice Location Address Details
Address
320 River St
City
State
Zip
95060-2723
Phone Number
831-272-4324
Fax Number
831-457-2328
person
Provider Business Mailing Address Details
Address
320 River St
City
State
Zip
95060-2723
Phone Number
831-272-4324
Fax Number
831-457-2328
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
C38441 (California)
Definition
Definition to come...
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