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Organization
LEILA BOLANDGRAY, M.D. INC.
Active
Organization
LEILA BOLANDGRAY, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEILA SOFIA BOLANDGRAY M.D. (PRESIDENT)
(619) 937-6349
Entity
Organization
Contact information
Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(619) 937-6349
(866) 313-8916
Mailing address
PO BOX 2775, LA MESA, CA 91943-2775
(619) 937-6349
(866) 313-8916
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A72176
CA
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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