Provider Demographics
NPI:1881604833
Name:LEUNG, SAUWAN (LAC, PHD)
Entity type:Individual
Prefix:DR
First Name:SAUWAN
Middle Name:
Last Name:LEUNG
Suffix:
Gender:F
Credentials:LAC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8400 KEOKUK AVE
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:CA
Mailing Address - Zip Code:91306-1609
Mailing Address - Country:US
Mailing Address - Phone:818-702-9099
Mailing Address - Fax:818-886-1514
Practice Address - Street 1:22030 CLARENDON ST STE 111
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-6474
Practice Address - Country:US
Practice Address - Phone:818-702-9099
Practice Address - Fax:818-886-1514
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 6688171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist