Healthcare Provider Details

I. General information

NPI: 1174611263
Provider Name (Legal Business Name): JOY A LEONG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 03/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7630 S PAINTER AVE
WHITTIER CA
90602-2357
US

IV. Provider business mailing address

PO BOX 1277
WHITTIER CA
90609-1277
US

V. Phone/Fax

Practice location:
  • Phone: 562-945-2206
  • Fax: 562-696-2584
Mailing address:
  • Phone: 562-906-6470
  • Fax: 562-946-9465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberG77572
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: