Healthcare Provider Details

I. General information

NPI: 1083612949
Provider Name (Legal Business Name): YUK-YUEN MAX LEUNG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 12/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7014 N WHITNEY AVE STE A
FRESNO CA
93720-0155
US

IV. Provider business mailing address

7014 N WHITNEY AVE STE A
FRESNO CA
93720-0155
US

V. Phone/Fax

Practice location:
  • Phone: 559-321-2800
  • Fax: 559-321-2780
Mailing address:
  • Phone: 559-321-2800
  • Fax: 559-321-2780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberA92169
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: