Leung, Clarence M
Leung, Clarence M is an sole proprietor health care provider with primary practice located at 415 W Route 66 Suite 202, Glendora CA 91740-4335. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Leung, Clarence M can be contacted via phone (626) 963-4467.Contact Information
Primary practice address
415 W Route 66 Suite 202
Glendora CA 91740-4335
Phone: (626) 963-4467
Fax: (626) 963-9543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 20904 | California |
Profile Details
| NPI number | 1134273543 |
|---|---|
| LBN Legal business name | Leung, Clarence M |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Oct 4th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134273543 | NPPES |
| California | MEDICAID | PSY209040 |
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