Healthcare Provider Details

I. General information

NPI: 1447573324
Provider Name (Legal Business Name): SOK-YIN LEUNG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2010
Last Update Date: 03/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

748 RODMAN CIRCLE
MONTEREY PARK CA
91754
US

IV. Provider business mailing address

P.O. BOX 554
MONTEREY PARK CA
91754
US

V. Phone/Fax

Practice location:
  • Phone: 626-274-8938
  • Fax:
Mailing address:
  • Phone: 626-274-8938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA24943
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: