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1417372426
LEILANI FANG DIEGO
TORRANCE, CA
NPI
1417372426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 23159)
Enumeration Date
2014-02-27
Last Update Date
2023-11-01
Business Address
MRS. LEILANI FANG DIEGO
1326 W CARSON ST APT 112
TORRANCE, CA 90501-6500
Phone number: 562-787-1655
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Mailing Address
MRS. LEILANI FANG DIEGO
2040 PACIFIC COAST HWY STE S
LOMITA, CA 90717-2660
Phone number: 562-787-1655
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