Doctor Name: | DR. LEONORA JUI |
NPI Number: | 1871801951 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | C50354 |
Business Practice Address: | 1616 Margarita Gln Fallbrook, CA - 920288161 |
Business Phone Number: | 7604683309 |
Business Fax Number: | 7606457019 |
Mailing Address: | 1616 Margarita Gln, FALLBROOK |
State: | CA |
Postal Code: | 920288161 |
Phone Number: | 7604683309 |
Fax Number: | 7606457019 |
NPI Enumeration Date: | 09/22/2010 |
NPI Last Update Date: | 09/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C50354 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |