Organization Active NPI

Albert G. Leung, DDS, Inc

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1467747725
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43188 Issued in CA
Legal business name
ALBERT G. LEUNG, DDS, INC
Practice address
6565 Balboa Ave
Ste. B
San Diego, CA 92111-3154
Phone
(858) 279-2122
Fax
(858) 279-5495
NPI assigned
Jun 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Authorized official

Name
Dr. Albert Leung, DDSNPI 1962610253
Title
Owner-Ceo
Phone
(858) 279-2122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 43188 CA Primary

Addresses

Primary practice location

6565 Balboa Ave
Ste. B
San Diego, CA 92111-3154

Mailing address

6565 Balboa Ave
Ste. B
San Diego, CA 92111-3154
Phone (858) 279-2122

National Provider Directory

National Provider Directory

Locations

6565 Balboa Ave
Ste B
San Diego, CA 92111
Phone (858) 279-2122

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1467747725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 BALBOA AVE",
            "address_2": "STE. B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113154",
            "telephone_number": "858-279-2122",
            "fax_number": "858-279-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 BALBOA AVE",
            "address_2": "STE. B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113154",
            "telephone_number": "858-279-2122",
            "fax_number": "858-279-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT G. LEUNG, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "LEUNG",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER-CEO",
        "authorized_official_telephone_number": "858-279-2122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.