1245433010 NPI number — TOBEY M. LEUNG, A.P.M.C.

Table of content: (NPI 1245433010)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245433010 NPI number — TOBEY M. LEUNG, A.P.M.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOBEY M. LEUNG, A.P.M.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
TOBEY M. LEUNG, M.D.
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245433010
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
340 W EAST AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHICO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95926-7238
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
530-342-2777
Provider Business Mailing Address Fax Number:
530-342-2776

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
340 W EAST AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHICO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95926-7238
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-342-2777
Provider Business Practice Location Address Fax Number:
530-342-2776
Provider Enumeration Date:
06/07/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LEUNG
Authorized Official First Name:
TOBEY
Authorized Official Middle Name:
MATTHEW
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
530-342-2777

Provider Taxonomy Codes

  • Taxonomy code: 2081P2900X , with the licence number:  G83582 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: G83582 . This is a "CA STATE LICENSE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".