Individual
LEO MYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
521 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2206
(415) 883-0944
Mailing address
710 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-1000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001865
CA
Other
Enumeration date
10/18/2022
Last updated
06/10/2025
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