Provider Demographics
NPI:1982806170
Name:LEUNG, JENNIFER KIT-LAM (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:KIT-LAM
Last Name:LEUNG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2967 MICHELSON DR STE G
Mailing Address - Street 2:PMB131
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-8801
Mailing Address - Country:US
Mailing Address - Phone:847-452-9716
Mailing Address - Fax:
Practice Address - Street 1:2967 MICHELSON DR STE G
Practice Address - Street 2:PMB131
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-8801
Practice Address - Country:US
Practice Address - Phone:847-452-9716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2021-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA1315072080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics