1023211471 NPI number — LEUNG HEALTH CARE HOLLYWOOD INC.

Table of content: (NPI 1023211471)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023211471 NPI number — LEUNG HEALTH CARE HOLLYWOOD INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LEUNG HEALTH CARE HOLLYWOOD INC.
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:
Provider Other Organization Name Type Code:
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:
1023211471
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
888 NE 126TH ST
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
NORTH MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33161-4964
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-710-5426
Provider Business Mailing Address Fax Number:
305-899-1352

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
824 S FEDERAL HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOLLYWOOD
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33020-5438
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-921-5553
Provider Business Practice Location Address Fax Number:
954-921-5582
Provider Enumeration Date:
06/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LEUNG
Authorized Official First Name:
THERESA
Authorized Official Middle Name:
K
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
954-921-5553

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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





Copyright © 2007-2025 www.npivalidator.com