Healthcare Provider Details

I. General information

NPI: 1821483785
Provider Name (Legal Business Name): BRIANA LEUNG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2015
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1708 YAKIMA AVE STE 105&112
TACOMA WA
98405-5307
US

IV. Provider business mailing address

5565 GROSSMONT CENTER DR STE 1-221
LA MESA CA
91942-3020
US

V. Phone/Fax

Practice location:
  • Phone: 253-552-1200
  • Fax:
Mailing address:
  • Phone: 619-462-8100
  • Fax: 619-462-7933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD61283505
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA188323
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: