Provider Demographics
NPI:1316958440
Name:LEUNG, LAI-SUNG ERIC (MD)
Entity type:Individual
Prefix:DR
First Name:LAI-SUNG
Middle Name:ERIC
Last Name:LEUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:L
Other - Middle Name:ERIC
Other - Last Name:LEUNG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:929 CLAY ST SUITE 503
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-1500
Mailing Address - Country:US
Mailing Address - Phone:415-986-3215
Mailing Address - Fax:415-986-1118
Practice Address - Street 1:929 CLAY ST SUITE 503
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-1500
Practice Address - Country:US
Practice Address - Phone:415-986-3215
Practice Address - Fax:415-986-1118
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC35631207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C356310Medicaid
00C356310Medicare ID - Type Unspecified
CA00C356310Medicaid