Healthcare Provider Details

I. General information

NPI: 1902809320
Provider Name (Legal Business Name): DANNY LEUNG DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DANIEL C LEUNG DDS

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 GREGORY LN SUITE # 226
PLEASANT HILL CA
94523-2800
US

IV. Provider business mailing address

401 GREGORY LN SUITE # 226
PLEASANT HILL CA
94523-2800
US

V. Phone/Fax

Practice location:
  • Phone: 925-689-4404
  • Fax: 925-689-4436
Mailing address:
  • Phone: 925-689-4404
  • Fax: 925-689-4436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number51492
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: