Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | C38735 | CA |
Y | 208600000X | Surgeon | C38735 | CA |
N | 2086X0206X | Surgical Oncologist | C38735 | CA |
NPI | 1225092596 |
---|---|
Provider Name | Dr. Stanley P.l. Leong |
First Address | Los Altos, CA 94022-1408 |
Second Address | San Francisco, CA 94115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 16/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0C3873500 | (05) | CA |
C87876 | (02) | CA |