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NPI Code Detail

MEDICARE: MS. ALVA L LEUNG LCSW

MEDICARE:  MS. ALVA L LEUNG  LCSW
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
11041C0700XClinical Social Worker24632CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13593OTHERSFGH INTERNAL USE ONLY
23593OTHERCBHS INTERNAL USE ONLY-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1477670131
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALVA L LEUNG LCSW
Provider Business Mailing Address
First Line : 2523 EL PORTAL DR
Second Line : STE 103
City : SAN PABLO
State : CA
Zip : 94806-3305
Country : US
Telephone Number : 925-381-2960
Fax Number :
Provider Business Practice Location Address
First Line : 13601 SAN PABLO AVE
Second Line :
City : SAN PABLO
State : CA
Zip : 94806-3818
Country : US
Telephone Number : 925-381-2960
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 10/06/2014

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Directions to “ MS. ALVA L LEUNG LCSW” Practice Location

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