Luna, Leland Matthew
Luna, Leland Matthew is an sole proprietor health care provider with primary practice located at 161 S Spruce Ave Ste B , South San Francisco CA 94080-4517. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Luna, Leland Matthew can be contacted via phone (650) 871-5858.Contact Information
Primary practice address
161 S Spruce Ave Ste B
South San Francisco CA 94080-4517
Phone: (650) 871-5858
Fax: (650) 871-4834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A7091 | California |
Profile Details
| NPI number | 1629126032 |
|---|---|
| LBN Legal business name | Luna, Leland Matthew |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jun 20th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629126032 | NPPES |
| California | MEDICAID | PHY415330 | |
| California | MEDICAID | 1871690016 |
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