Provider Demographics
NPI:1205003159
Name:LEUNG, DANIEL CALVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:CALVIN
Last Name:LEUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:653 N KINGSBURY ST
Mailing Address - Street 2:#2006
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-7069
Mailing Address - Country:US
Mailing Address - Phone:312-451-1395
Mailing Address - Fax:
Practice Address - Street 1:2420 CAMINO RAMON
Practice Address - Street 2:SUITE 270
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-4385
Practice Address - Country:US
Practice Address - Phone:925-543-0140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-09
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-116172207L00000X
CAA104697207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology