Provider Demographics
NPI:1831416361
Name:ALBERT LEUNG MD LLC
Entity type:Organization
Organization Name:ALBERT LEUNG MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LLC MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:LEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-955-5929
Mailing Address - Street 1:PO BOX 31000
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96849-5636
Mailing Address - Country:US
Mailing Address - Phone:808-677-7727
Mailing Address - Fax:808-677-1130
Practice Address - Street 1:1481 SOUTH KING STREET
Practice Address - Street 2:SUITE 538
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2603
Practice Address - Country:US
Practice Address - Phone:808-955-5929
Practice Address - Fax:808-677-1130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD8724207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIMD8724OtherMD LICENSE
HIH104841Medicare PIN