Healthcare Provider Details

I. General information

NPI: 1184825481
Provider Name (Legal Business Name): PUIFUNG ALICE LEUNG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 06/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3150 CALIFORNIA ST
SAN FRANCISCO CA
94115-2464
US

IV. Provider business mailing address

3150 CALIFORNIA ST
SAN FRANCISCO CA
94115-2464
US

V. Phone/Fax

Practice location:
  • Phone: 415-346-6886
  • Fax: 415-776-6892
Mailing address:
  • Phone: 415-346-6886
  • Fax: 415-776-6892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA3765
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU1813
License Number StateCA

VIII. Authorized Official

Name: PUIFUNG ALICE LEUNG
Title or Position: AUDIOLOGIST
Credential: AU.D.
Phone: 451-346-6886