MEDICARE: YING YAN LEUNG M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	G43055	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275612632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YING YAN LEUNG M.D

Provider Business Mailing Address
First Line	:	3038 S HACIENDA BLVD
Second Line	:
City	:	HACIENDA HEIGHTS
State	:	CA
Zip	:	91745-5313
Country	:	US
Telephone Number	:	626-961-5479
Fax Number	:	626-961-5470

Provider Business Practice Location Address
First Line	:	3038 S HACIENDA BLVD
Second Line	:
City	:	HACIENDA HEIGHTS
State	:	CA
Zip	:	91745-5313
Country	:	US
Telephone Number	:	626-961-5479
Fax Number	:	626-961-5470

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2006
Last Update Date	:	10/18/2023

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