Provider Demographics
NPI:1952695736
Name:LEONG, MARGARET ANN (LAC)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ANN
Last Name:LEONG
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
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Mailing Address - Street 1:3950 OHIO ST UNIT 225
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-3068
Mailing Address - Country:US
Mailing Address - Phone:619-920-9589
Mailing Address - Fax:
Practice Address - Street 1:4747 MISSION BLVD
Practice Address - Street 2:SUITE 7
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-2541
Practice Address - Country:US
Practice Address - Phone:858-581-2287
Practice Address - Fax:858-581-2288
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-08
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 14292171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist