Individual
ERICA LEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26197 CITRON ST, LOMA LINDA, CA 92354-6575
(909) 767-8643
Mailing address
26197 CITRON ST, LOMA LINDA, CA 92354-6575
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A107779
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2008
Last updated
12/06/2021
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