Individual
FREDERIC J LEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
227 W JANSS, #205, THOUSAND OAKS, CA 91360
(805) 497-7214
(805) 497-0864
Mailing address
227 W JANSS, #205, THOUSAND OAKS, CA 91360
(805) 497-7214
(805) 497-0864
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
G071490
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G714901
—
CA
Enumeration date
08/31/2006
Last updated
07/14/2023
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