Provider Demographics
NPI:1811078348
Name:LEUNG, FELIX W (MD)
Entity type:Individual
Prefix:DR
First Name:FELIX
Middle Name:W
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 1:17313 PLUMMER ST
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-2032
Mailing Address - Country:US
Mailing Address - Phone:818-895-9403
Mailing Address - Fax:
Practice Address - Street 1:16111 PLUMMER STREET
Practice Address - Street 2:111G VA SEPULVEDA ACC
Practice Address - City:SEPULVEDA
Practice Address - State:CA
Practice Address - Zip Code:91343
Practice Address - Country:US
Practice Address - Phone:818-895-9403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG39846174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist