Provider Demographics
NPI:1134254345
Name:LEUNG, CYRIL Y (MD)
Entity type:Individual
Prefix:
First Name:CYRIL
Middle Name:Y
Last Name:LEUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1974 SANTA FE AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90810-4064
Mailing Address - Country:US
Mailing Address - Phone:562-595-9799
Mailing Address - Fax:562-595-8884
Practice Address - Street 1:7636 PARK BAY DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-6800
Practice Address - Country:US
Practice Address - Phone:562-595-9799
Practice Address - Fax:562-595-8884
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA45066207RC0000X, 207RI0011X
HIMD-11986207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI518938-01Medicaid
HI0000236307OtherHMSA BILLING NUMBER
HI518938-01Medicaid
HI0000236307OtherHMSA BILLING NUMBER