Organization
LEDUC MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART CHUNG (ADMINISTRATOR)
(714) 540-0105
Entity
Organization
Contact information
Practice address
11160 WARNER AVE, SUITE 101, FOUNTAIN VALLEY, CA 92708-4010
(714) 540-0105
(714) 540-6727
Mailing address
11160 WARNER AVE, SUITE 101, FOUNTAIN VALLEY, CA 92708-4010
(714) 540-0105
(714) 540-6727
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
11/05/2006
Last updated
08/06/2013
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