Healthcare Provider Details

I. General information

NPI: 1114952934
Provider Name (Legal Business Name): ANDREW HO YAN LEUNG D.C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 04/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3162 NEWBERRY DR STE 70
SAN JOSE CA
95118-1567
US

IV. Provider business mailing address

3162 NEWBERRY DR STE 70
SAN JOSE CA
95118-1567
US

V. Phone/Fax

Practice location:
  • Phone: 408-253-1607
  • Fax: 888-493-1158
Mailing address:
  • Phone: 408-253-1607
  • Fax: 888-493-1158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC24821
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: