MEDICARE: DR. ANDREW HO YAN LEUNG D.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC24821	CA

General Provider Information

NPI Number	:	1114952934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW HO YAN LEUNG D.C

Provider Business Mailing Address
First Line	:	3162 NEWBERRY DR STE 70
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95118-1567
Country	:	US
Telephone Number	:	408-253-1607
Fax Number	:	888-493-1158

Provider Business Practice Location Address
First Line	:	3162 NEWBERRY DR STE 70
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95118-1567
Country	:	US
Telephone Number	:	408-253-1607
Fax Number	:	888-493-1158

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	04/26/2019

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