Individual
DARRYL LEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2202 CURTIS AVE, # B, REDONDO BEACH, CA 90278-2006
(310) 386-0459
Mailing address
2202 CURTIS AVE, # B, REDONDO BEACH, CA 90278-2006
(310) 386-0459
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G83975
CA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
G83975
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27611
MEDICAL LICENSE
IA
01
—
35526
MEDICAL LICENSE
AZ
01
—
G83975
MEDICAL LICENSE
CA
01
—
MD-3739
MEDICAL LICENSE
HI
Enumeration date
06/14/2007
Last updated
03/07/2023
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