Active NPI
Susan Liou Leong, R.PH.
- Pharmacist
- Encino, CA
National Provider Identifier
1396049409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55718
- Practice address
- 5301 Balboa Blvd Unit M10
Encino, CA 91316-2709 - Phone
- (818) 454-9607
- NPI assigned
- Jan 4, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 55718 | CA | Primary |
| Pharmacist | 183500000X | 13927 | CO | |
| Pharmacist | 183500000X | 042214 | MO |
Addresses
Primary practice location
5301 Balboa Blvd Unit M10
Encino, CA 91316-2709
Mailing address
5301 Balboa Blvd Unit M10
Encino, CA 91316-2709
Phone (818) 454-9607
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042214 | Other | MO | BOARD OF PHARMACY |
| 55718 | Other | CA | BOARD OF PHARMACY |
| 13927 | Other | CO | BOARD OF PHARMACY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55718 | CA | MD | Pharmacist |
| 042214 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494288000000",
"number": "1396049409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 BALBOA BLVD UNIT M10",
"city": "ENCINO",
"state": "CA",
"postal_code": "913162709",
"telephone_number": "818-454-9607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 BALBOA BLVD UNIT M10",
"city": "ENCINO",
"state": "CA",
"postal_code": "913162709",
"telephone_number": "818-454-9607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONG",
"first_name": "SUSAN",
"middle_name": "LIOU",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-04",
"last_updated": "2017-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "55718",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "13927",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "042214",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "042214",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "55718",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "13927",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.