Provider Demographics
NPI:1699866632
Name:MAGNANI, LEONARD LOUIS (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:LOUIS
Last Name:MAGNANI
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 MCCLAREN DR
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-5936
Mailing Address - Country:US
Mailing Address - Phone:916-481-1600
Mailing Address - Fax:
Practice Address - Street 1:1600 MCCLAREN DR
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-5936
Practice Address - Country:US
Practice Address - Phone:916-481-1600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG029819207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine