Healthcare Provider Details

I. General information

NPI: 1861781551
Provider Name (Legal Business Name): ALBERT LEUNG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2011
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2574 SAN BRUNO AVE
SAN FRANCISCO CA
94134-1505
US

IV. Provider business mailing address

5841 S MARYLAND AVE MC 5068, ROOM L539
CHICAGO IL
60637-1447
US

V. Phone/Fax

Practice location:
  • Phone: 415-391-9686
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number125066919
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA130071
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: