Leonard Dalag
Radiology, Vascular & Interventional Radiology in Manteca, CA. Individual provider (NPI-1).
NPI number1689043291
StatusActive
Last updated in NPPESOct 12, 2022
Details
- NPI
- 1689043291
- Entity type
- Individual (NPI-1)
- Name
- Leonard Dalag
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2015
- Certification date
- Oct 12, 2022
- Last updated
- Oct 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | A171850 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | CA | |
| 2085R0202X | Radiology, Diagnostic Radiology | 125.067931 | IL |
Practice location
250 Cherry Ln Ste 116Manteca, CA 95337-4398
Phone 209-647-2184
Mailing address
Po Box 31309Los Angeles, CA 90031-0309
Phone 626-457-6601
Other practice locations
1520 San Pablo St
Los Angeles, CA 90033-5310
Los Angeles, CA 90033-5310
Phone 323-442-8500
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All 6 Vascular & Interventional Radiology Physician providers in Manteca · All 1,345 providers in Manteca
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