Individual
LEONARD J SOLONIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(909) 558-8054
Mailing address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(909) 558-8054
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G48518
CA
207LA0401X
Addiction Medicine (Anesthesiology) Physician
G48518
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G48518
CA
207R00000X
Internal Medicine Physician
G48518
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G485180
—
CA
Enumeration date
08/12/2006
Last updated
10/12/2023
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