| Stephen S Leung Md | |
|
1045 E Valley Blvd Suite A210 San Gabriel CA 91776-3664 | |
| (626) 572-0012 | |
| (626) 572-0799 |
| Full Name | Stephen S Leung Md |
|---|---|
| Speciality | Family Medicine |
| Location | 1045 E Valley Blvd, San Gabriel, California |
| Authorized Official Name and Position | Stephen S Leung (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6265720012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen S Leung Md 1045 E Valley Blvd Suite A210 San Gabriel CA 91776-3664 Ph: (626) 572-0012 | Stephen S Leung Md 1045 E Valley Blvd Suite A210 San Gabriel CA 91776-3664 Ph: (626) 572-0012 |
| NPI Number | 1154422715 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 08/04/2022 |
| Medicare PECOS PAC ID | 6002175064 |
|---|---|
| Medicare Enrollment ID | O20180119000703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154422715 | NPI | - | NPPES |
| 00A529140 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A52914 (California) | Primary |
| Provider Name | Stephen S Leung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306969308 PECOS PAC ID: 4486814993 Enrollment ID: I20120320000982 |
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