Provider Demographics
NPI:1669491403
Name:LEUNG, ALBERT Y (MD)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:Y
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:UCSD MEDICAL CENTER
Mailing Address - Street 2:200 WEST ARBOR DRIVE MC0801
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-0801
Mailing Address - Country:US
Mailing Address - Phone:619-543-5720
Mailing Address - Fax:
Practice Address - Street 1:9300 CAMPUS POINT DR # 7651
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1300
Practice Address - Country:US
Practice Address - Phone:858-657-7030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG80220207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G802200Medicaid
G51022Medicare UPIN
CAWG80220BMedicare ID - Type Unspecified
CAWG80220AMedicare ID - Type Unspecified