MEDICARE: ALISO VIEJO FAMILY MEDICINE PC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1770537458
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALISO VIEJO FAMILY MEDICINE PC

Provider Business Mailing Address
First Line	:	24953 PASEO DE VALENCIA STE 13B
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-4339
Country	:	US
Telephone Number	:	949-425-0321
Fax Number	:	949-425-1204

Provider Business Practice Location Address
First Line	:	24953 PASEO DE VALENCIA
Second Line	:	SUITE 13 B
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-4654
Country	:	US
Telephone Number	:	949-425-0321
Fax Number	:	949-425-1204

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	HENRY LEUNG
Credential	:	DO
Telephone Number	:	949-425-0321

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	06/01/2026

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