Healthcare Provider Details

I. General information

NPI: 1205793643
Provider Name (Legal Business Name): CHOR SZE LEUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3215 SKYWAY CT
FREMONT CA
94539-5951
US

IV. Provider business mailing address

1160 WELCH RD APT 614
PALO ALTO CA
94304-1916
US

V. Phone/Fax

Practice location:
  • Phone: 408-900-8838
  • Fax:
Mailing address:
  • Phone: 650-656-3675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number95391560
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: