Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Leonard Dalag

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689043291

Leonard Dalag is a Diagnostic Radiology in Manteca, California. Qualified in 2015, 11 years ago. Practices with USC Care Medical Group Inc, a 1,371-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
11
Licensed in
CA, IL
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

250 Cherry Ln Ste 116
Manteca, CA 95337-4398
Phone: (209) 647-2184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1520 San Pablo St, Los Angeles, CA 90033-5310 — (323) 442-8500

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence A171850 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 125.067931 (IL)

Record details

NPI number1689043291
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 24, 2015
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022
Mailing addressPo Box 31309, Los Angeles, CA 90031-0309

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Usc Care Medical Group Inc — 1371 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Manteca