Healthcare Provider Details

I. General information

NPI: 1407404247
Provider Name (Legal Business Name): JOANA LEUNG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2019
Last Update Date: 07/22/2023
Certification Date: 07/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4131 GEARY BLVD
SAN FRANCISCO CA
94118-3101
US

IV. Provider business mailing address

4131 GEARY BLVD
SAN FRANCISCO CA
94118-3101
US

V. Phone/Fax

Practice location:
  • Phone: 415-833-0380
  • Fax:
Mailing address:
  • Phone: 415-613-3336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number88114
License Number StateCA
# 2
Primary TaxonomyN
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: