Healthcare Provider Details

I. General information

NPI: 1093999534
Provider Name (Legal Business Name): MARTIN LEUNG MD & ASSOC. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2007
Last Update Date: 05/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

598 BOSWORTH ST SUITE 2
SAN FRANCISCO CA
94131-3262
US

IV. Provider business mailing address

598 BOSWORTH ST SUITE 2
SAN FRANCISCO CA
94131-3262
US

V. Phone/Fax

Practice location:
  • Phone: 415-337-9362
  • Fax:
Mailing address:
  • Phone: 415-337-9362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MARTIN LEUNG
Title or Position: PRESIDENT
Credential: M.D.
Phone: 415-337-9362