Provider Demographics
NPI:1871801951
Name:JUI, LEONORA (MD)
Entity type:Individual
Prefix:DR
First Name:LEONORA
Middle Name:
Last Name:JUI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 MARGARITA GLN
Mailing Address - Street 2:
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92028-8161
Mailing Address - Country:US
Mailing Address - Phone:760-468-3309
Mailing Address - Fax:760-645-7019
Practice Address - Street 1:1616 MARGARITA GLN
Practice Address - Street 2:
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-8161
Practice Address - Country:US
Practice Address - Phone:760-468-3309
Practice Address - Fax:760-645-7019
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC50354208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice