Provider Demographics
NPI:1801080445
Name:LEONG, ANDREW MYINT (MD,)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:MYINT
Last Name:LEONG
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:MYINT
Other - Middle Name:
Other - Last Name:MAUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBS,
Mailing Address - Street 1:PO BOX 22014
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93390-2014
Mailing Address - Country:US
Mailing Address - Phone:661-664-5726
Mailing Address - Fax:
Practice Address - Street 1:2737 WEST CECIL AVENUE
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93216
Practice Address - Country:US
Practice Address - Phone:661-721-2345
Practice Address - Fax:661-721-3124
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA63767207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine