Individual provider Active NPI

Matthew Leong

  • Clinical Pathology/Laboratory Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1679152730
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
A193975 Issued in CA
Practice address
116 N Robertson Blvd Ste 500
Los Angeles, CA 90048-3100
Phone
(310) 248-6241
NPI assigned
Apr 6, 2021
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X A193975 CA Primary

Addresses

Primary practice location

116 N Robertson Blvd Ste 500
Los Angeles, CA 90048-3100

Mailing address

700 N San Vicente Blvd Ste G530
West Hollywood, CA 90069-5060
Phone (310) 423-4612

Other practice location 1

700 N San Vicente Blvd Ste G530
West Hollywood, CA 90069-5060
Phone (310) 423-4612

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

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1679152730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N SAN VICENTE BLVD STE G530",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900695060",
            "telephone_number": "310-423-4612",
            "fax_number": "310-423-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N ROBERTSON BLVD STE 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483100",
            "telephone_number": "310-248-6241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 N San Vicente Blvd Ste G530",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900695060",
            "country_code": "US",
            "telephone_number": "310-423-4612",
            "fax_number": "310-423-0311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONG",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-06",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "CA",
            "license": "A193975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.