MEDICARE: MARTIN CHAN-HOI LEUNG MD

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	207Q00000X	Family Medicine Physician	G39648	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	:	1831190537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTIN CHAN-HOI LEUNG MD

Provider Business Mailing Address
First Line	:	598 BOSWORTH ST
Second Line	:	SUITE 2
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94131-3262
Country	:	US
Telephone Number	:	415-337-9362
Fax Number	:

Provider Business Practice Location Address
First Line	:	598 BOSWORTH ST
Second Line	:	SUITE 2
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94131-3262
Country	:	US
Telephone Number	:	415-337-9362
Fax Number	:

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

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	05/31/2008

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