Provider Demographics
NPI:1053715698
Name:LEUNG, HO-YIN (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:HO-YIN
Middle Name:
Last Name:LEUNG
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1516 STARDUST DR
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-4558
Mailing Address - Country:US
Mailing Address - Phone:626-641-0754
Mailing Address - Fax:
Practice Address - Street 1:4531 PHILADELPHIA ST STE B107
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-2249
Practice Address - Country:US
Practice Address - Phone:909-902-9100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-10
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63958122300000X, 1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No122300000XDental ProvidersDentist