Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | A103378 | CA |
NPI | 1730235334 |
---|---|
Provider Name | Dr. Roxanne Leung |
First Address | San Jose, CA 95117-1840 |
Second Address | San Jose, CA 95117-1840 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2007 |
Last Update Date | 12/12/2013 |