Healthcare Provider Details

I. General information

NPI: 1073493342
Provider Name (Legal Business Name): JOYCE LEONG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12660 RIVERSIDE DR
VALLEY VILLAGE CA
91607-3429
US

IV. Provider business mailing address

12660 RIVERSIDE DR
VALLEY VILLAGE CA
91607-3429
US

V. Phone/Fax

Practice location:
  • Phone: 424-330-0077
  • Fax:
Mailing address:
  • Phone: 909-539-3655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95036229
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: