Organization
BIG LEAP MEDICAL GROUP OF CALIFORNIA P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMEET VADERA MD (OWNER)
(415) 792-0195
Entity
Organization
Contact information
Practice address
22281 AMBER ROSE, MISSION VIEJO, CA 92692-4522
(415) 792-0195
Mailing address
2261 MARKET ST STE 10836, SAN FRANCISCO, CA 94114-1612
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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