# ANGELO J. LEONI, M.D., A MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801124052
- **Authorized official:** DR. ANGELO J. LEONI M.D. (PRESIDENT)
- **Authorized official phone:** (707) 762-4583

## Contact information

- **Practice address:** 1116 B ST, PETALUMA, CA 94952-4054
- **Practice address phone:** (707) 762-4583
- **Practice address fax:** (707) 762-2145
- **Mailing address:** 1116 B ST, PETALUMA, CA 94952-4054
- **Mailing address phone:** (707) 762-4583
- **Mailing address fax:** (707) 762-2145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 00G1500 | CA | Yes |

## Other

- **Enumeration date:** 11/30/2009
- **Last updated:** 11/30/2009