Individual
TONY LEUANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
82165 DOCTOR CARREON BLVD APT 33B1, INDIO, CA 92201-4800
(404) 543-4714
Mailing address
82165 DOCTOR CARREON BLVD APT 33B1, INDIO, CA 92201-4800
(404) 543-4714
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
52512
CA
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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