Most Relevant Information
Provider Data
| NPI Number: | 1003525585 |
| Provider Name: | LESLIE FUNG CNM |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC1500X |
| Specialty: | Registered Nurse |
| License Number: | 802414 |
Most Important Dates
| Enumeration Date: | 11/23/2022 |
| Last Updated: | 12/22/2023 |
Provider Practice Location
1513 S GRAND AVE STE 220&250
LOS ANGELES
CA
900153070
Practice Location Phone/Fax
| Phone: | 4159632968 |
| Fax: |
Provider Mailing Location
1830 41ST AVE
SAN FRANCISCO
CA
941224004
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |