Healthcare Provider Details

I. General information

NPI: 1154533487
Provider Name (Legal Business Name): CHERRY Y LEUNG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 PARNASSUS AVE
SAN FRANCISCO CA
94117-3608
US

IV. Provider business mailing address

350 PARNASSUS AVE
SAN FRANCISCO CA
94117-3608
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2119
  • Fax:
Mailing address:
  • Phone: 415-353-2119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberNP17194
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP17194
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: