Provider Demographics
NPI:1720020571
Name:LEUNG, TOBEY M (MD)
Entity Type:Individual
Prefix:DR
First Name:TOBEY
Middle Name:M
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 1:384 WEYMOUTH WAY
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-8208
Mailing Address - Country:US
Mailing Address - Phone:530-566-9131
Mailing Address - Fax:
Practice Address - Street 1:384 WEYMOUTH WAY
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-8208
Practice Address - Country:US
Practice Address - Phone:530-566-9131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI554432081P2900X
CAG835822081P2900X
LA12374R2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABL5534981OtherDEA
CAG64921Medicare UPIN
CA00G835820Medicare ID - Type Unspecified