ANGELO J. LEONI M.D. A MEDICAL CORP NPI 1801124052

NPI Information

NPI: 1801124052
Provider Name: ANGELO J. LEONI, M.D., A MEDICAL CORP
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1116 B ST
PETALUMA, CA
ZIP 94952
Phone: (707) 762-4583
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ANGELO J. LEONI, M.D., A MEDICAL CORP is a general practice in Petaluma, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ANGELO J. LEONI, M.D., A MEDICAL CORP NPI is 1801124052. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1116 B ST
PETALUMA, CA
ZIP 94952-054
Phone: (707) 762-4583
Fax: (707) 762-2145

The provider's authorized official is Angelo J. Leoni .
The authorized official title is President and has the following contact phone number (707) 762-4583.

The enumeration date for this NPI number is 11/30/2009 and was last updated on 11/30/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		00G1500	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A55396	MEDICARE UPIN

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: 5/5/2024

NPI Synchronization or Removal

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