Provider Demographics
NPI:1285669549
Name:LEONG, WING-YIN (MD)
Entity Type:Individual
Prefix:DR
First Name:WING-YIN
Middle Name:
Last Name:LEONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:CHRIS
Other - Middle Name:WING-YIN
Other - Last Name:LEONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:612 W DUARTE RD
Mailing Address - Street 2:SUITE 603
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7602
Mailing Address - Country:US
Mailing Address - Phone:626-445-8698
Mailing Address - Fax:626-445-8685
Practice Address - Street 1:612 W DUARTE RD
Practice Address - Street 2:SUITE 603
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7602
Practice Address - Country:US
Practice Address - Phone:626-445-8698
Practice Address - Fax:626-445-8685
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG42120208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics