Provider Demographics
NPI:1972997278
Name:LUBAG, ALINA ABBY LEUNG (MD)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:ABBY LEUNG
Last Name:LUBAG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALINA
Other - Middle Name:ABBY
Other - Last Name:LEUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8574 EXPOSITION ST
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91708-9617
Mailing Address - Country:US
Mailing Address - Phone:925-212-7278
Mailing Address - Fax:
Practice Address - Street 1:9961 SIERRA AVE FL 3
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335-6720
Practice Address - Country:US
Practice Address - Phone:909-427-7533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-25
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA147682208000000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No208000000XAllopathic & Osteopathic PhysiciansPediatrics