Healthy Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A52914 Issued in CA

Legal business name

HEALTHY MEDICAL GROUP INC

Doing business as

Stephen S Leung MD

Practice address

1045 E Valley Blvd
Suite A210
San Gabriel, CA 91776-3664

Phone

(626) 572-0012

Fax

(626) 572-0799

NPI assigned

Sep 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephen S Leung, M.DNPI 1306969308

Title

Medical Director

Phone

(626) 572-0012

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stephen S Leung MD Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen S Leung, M.D.

  • Family Medicine Physician
  • San Gabriel, CA
  • NPI 1306969308
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1154422715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 E VALLEY BLVD",
            "address_2": "SUITE A210",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763664",
            "telephone_number": "626-572-0012",
            "fax_number": "626-572-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 E VALLEY BLVD",
            "address_2": "SUITE A210",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763664",
            "telephone_number": "626-572-0012",
            "fax_number": "626-572-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "LEUNG",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "626-572-0012",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A52914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A529140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen S Leung MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.