Julia Mai Lan Leong, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

108854 Issued in CA

Practice address

1950 Sunny Crest Dr Ste 3000
Fullerton, CA 92835-3641

Phone

(714) 455-3823

NPI assigned

Jul 31, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Julia Mai Lan Nguyen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732406400000",
    "number": "1235810433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20243 ELKWOOD ST",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913062313",
            "telephone_number": "818-424-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SUNNY CREST DR STE 3000",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353641",
            "telephone_number": "714-455-3823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 N. Palm Ave",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93711",
            "country_code": "US",
            "telephone_number": "559-710-2454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONG",
        "first_name": "JULIA",
        "middle_name": "MAI LAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2024-11-24",
        "certification_date": "2024-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108854",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "108854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "NGUYEN",
            "middle_name": "MAI LAN",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leo W Kwan MD a Medical Corp
• Jacqueline Leon
• Lauren Leon
• Kiana Rae Lyn Leonard
• Linda Marie Leonard
• Madelyn Leong
• Leslie T. Lee Professional Chiropractic Corporation
• Alex Leung, M.D
• Lawrence Ginwung Leung, MSW
• Alicia M Lever, NP

• Prosthodontics in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.