Organization
ALPHA OMEGA MULTISPECIALTY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND WP LEUNG M.D. (OWNER)
(626) 572-8412
Entity
Organization
Contact information
Practice address
600 N GARFIELD AVE STE 210, MONTEREY PARK, CA 91754-1170
(626) 572-8412
Mailing address
2755 E CALIFORNIA BLVD, PASADENA, CA 91107-5302
(626) 584-0468
(626) 698-3355
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G48262
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G482620
OTHER PIN
CA
05
—
GR0084970
—
CA
Enumeration date
04/04/2007
Last updated
08/22/2020
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