| Organization Name: | ANGELO J. LEONI, M.D., A MEDICAL CORP |
| NPI Number: | 1801124052 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGELO J. LEONI (PRESIDENT) |
| Mailing Address: | 1116 B St Petaluma |
| State: | CA US |
| Postal Code: | 949524054 |
| Phone Number: | 7077624583 |
| Fax Number: | 7077622145 |
| NPI Enumeration Date: | 11/30/2009 |
| NPI Last Update Date: | 11/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 00G1500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |