Individual
DR. INDIGO LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
675 18TH ST, SAN FRANCISCO, CA 94143-4200
(415) 476-7527
Mailing address
525 NELSON RISING LN APT 503, SAN FRANCISCO, CA 94158-2301
(917) 715-3803
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17188
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2024
Last updated
12/03/2024
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