Basic Information
| Provider Information | |||||||||
| NPI: | 1821291097 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEUNG | ||||||||
| FirstName: | PUI YI | ||||||||
| MiddleName: | RACHAEL | ||||||||
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| Credential: | MOT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 204 LLU LINDSAY HALL | ||||||||
| Address2: | |||||||||
| City: | LOMA LINDA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 923500001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6263765929 | ||||||||
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| Practice Location | |||||||||
| Address1: | 164 W HOSPITALITY LN | ||||||||
| Address2: | SUITE 3 | ||||||||
| City: | SAN BERNARDINO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 924083316 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9098911880 | ||||||||
| FaxNumber: | 9098911888 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | 225XP0200X | X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics |
No ID Information.