Healthcare Provider Details

I. General information

NPI: 1972997278
Provider Name (Legal Business Name): ALINA ABBY LEUNG LUBAG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALINA ABBY LEUNG MD

II. Dates (important events)

Enumeration Date: 03/25/2015
Last Update Date: 12/22/2023
Certification Date: 12/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9961 SIERRA AVE FL 3
FONTANA CA
92335-6720
US

IV. Provider business mailing address

8574 EXPOSITION ST
CHINO CA
91708-9617
US

V. Phone/Fax

Practice location:
  • Phone: 909-427-7533
  • Fax:
Mailing address:
  • Phone: 925-212-7278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA147682
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: