Individual
DR. IDA G LEONG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
320 RIVER ST, SANTA CRUZ, CA 95060-2723
(831) 272-4324
(831) 457-2328
Mailing address
603 ARROYO SECO, SANTA CRUZ, CA 95060-3147
(831) 462-4595
(831) 457-2328
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C38441
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C38441
MEDICAL LICENSE NO.
CA
Enumeration date
08/25/2005
Last updated
04/05/2021
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