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NPI Code Detail

MEDICARE: BRIAN SUN LEO M.D.

MEDICARE: BRIAN SUN LEO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA101701CA

General Provider Information

NPI Number : 1891970745
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN SUN LEO M.D.
Provider Business Mailing Address
First Line : 2100 PEABODY RD
Second Line :
City : VACAVILLE
State : CA
Zip : 95687-6639
Country : US
Telephone Number : 707-451-0182
Fax Number :
Provider Business Practice Location Address
First Line : 2100 PEABODY RD
Second Line :
City : VACAVILLE
State : CA
Zip : 95687-6639
Country : US
Telephone Number : 707-451-0182
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2008
Last Update Date : 11/22/2021

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Directions to “ BRIAN SUN LEO M.D.” Practice Location

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