Healthcare Provider Details

I. General information

NPI: 1558407643
Provider Name (Legal Business Name): JOHN WING PUI LEUNG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JOHN WING PUI LEUNG MD

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1551 E TANGERINE RD
ORO VALLEY AZ
85755-6213
US

IV. Provider business mailing address

3157 N RAINBOW BLVD # 518
LAS VEGAS NV
89108-4578
US

V. Phone/Fax

Practice location:
  • Phone: 520-901-3500
  • Fax: 659-235-6176
Mailing address:
  • Phone: 702-386-4700
  • Fax: 702-386-4701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberG89183
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number21943
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number21943
License Number StateSC
# 4
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number21943
License Number StateSC
# 5
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number13979
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: