Provider Demographics
NPI:1538310149
Name:LEONG, CHERYL WOO (RD, RDN)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:WOO
Last Name:LEONG
Suffix:
Gender:F
Credentials:RD, RDN
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:CHRISTINE
Other - Last Name:WOO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD
Mailing Address - Street 1:P.O. BOX 31793
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131
Mailing Address - Country:US
Mailing Address - Phone:415-890-3899
Mailing Address - Fax:
Practice Address - Street 1:2661 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94132
Practice Address - Country:US
Practice Address - Phone:415-890-3899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-02
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA01035857133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered