Healthcare Provider Details

I. General information

NPI: 1700799764
Provider Name (Legal Business Name): JOSHUA Y LENG BSN, RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: YI-CHANG LENG

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40886 GOODWIN WAY
MADERA CA
93636-9900
US

IV. Provider business mailing address

42012 ROAD 52
REEDLEY CA
93654-0033
US

V. Phone/Fax

Practice location:
  • Phone: 818-357-4634
  • Fax:
Mailing address:
  • Phone: 818-357-4634
  • 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 State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: