Healthcare Provider Details

I. General information

NPI: 1831030139
Provider Name (Legal Business Name): YVETTE LEUNG
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 ILLINOIS ST # 3102
SAN FRANCISCO CA
94143-2510
US

IV. Provider business mailing address

490 ILLINOIS ST
SAN FRANCISCO CA
94143-2510
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-1435
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN95097415
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: