Individual
LEONARD DALAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 CHERRY LN STE 116, MANTECA, CA 95337-4398
(209) 647-2184
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(626) 457-6601
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
125.067931
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A171850
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
09/24/2015
Last updated
10/12/2022
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