Individual
DR. LEEHSIN BILLY FANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2500 HOSPITAL DRIVE, BLDG15, SUITE 4, MOUNTAIN VIEW, CA 94040-4106
(650) 386-1328
(650) 963-9813
Mailing address
226 ECHO AVE, SUITE 3, CAMPBELL, CA 95008-4727
(408) 903-3414
(650) 963-9813
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184622433
NPI
CA
01
—
7483160001
DME NSC PTAN
CA
01
—
E5118
CALIFORNIA PODIATRIST LICENSE
CA
Enumeration date
07/11/2005
Last updated
02/21/2020
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