Individual
DR. BENJAMIN LEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3660 PARK SIERRA DR, SUITE 105, RIVERSIDE, CA 92505-3071
(951) 278-8870
Mailing address
2083 COMPTON AVE STE 103, CORONA, CA 92881-7288
(951) 468-8252
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A106797
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195917301
—
TX
01
—
8AN623
BCBS
TX
01
—
A106797
CALIFORNIA MEDICAL LICENSE
CA
Enumeration date
06/18/2008
Last updated
12/19/2013
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