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1629605431
KUANGDA LEO SHAN
SAN DIEGO, CA
NPI
1629605431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA 2680)
Enumeration Date
2020-03-24
Last Update Date
2021-07-11
Business Address
KUANGDA LEO SHAN MD
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 805-637-6990
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Mailing Address
KUANGDA LEO SHAN MD
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number:
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