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DR. GREGORY BRUCE LEONG M.D. NPI 1174592158


NPI Information

NPI: 1174592158
Provider Name: DR. GREGORY BRUCE LEONG, M.D.
Classification: Psychiatry & Neurology - 2084F0202X
Entity Type: Individual

Specialization: Forensic Psychiatry

PECOS Registration: Yes

Address:
3102 E HIGHLAND AVE
PATTON, CA
ZIP 92369
Phone: (909) 425-6509
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DR. Gregory Bruce Leong, M.D. is a forensic psychiatry psychiatry neurology in Patton, CA. The provider is forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. DR. Gregory Bruce Leong, M.D. NPI is 1174592158. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3102 E HIGHLAND AVE
PATTON, CA
ZIP 92369-813
Phone: (909) 425-6509

The NPI 1174592158 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 7/5/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084F0202XPsychiatry & NeurologyForensic PsychiatryMD00025101WASHINGTONNo
22084P0800XPsychiatry & NeurologyPsychiatryMD00025101WASHINGTONNo
32084P0800XPsychiatry & NeurologyPsychiatryG34482CALIFORNIANo
42084F0202XPsychiatry & NeurologyForensic PsychiatryG34482CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AB05510MEDICARE PINWASHINGTON
2G77741MEDICARE UPINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.