Individual
VINCENT C LEUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2488 N CALIFORNIA ST, ALPINE ORTHOPAEDIC MEDICAL GROUP INC, STOCKTON, CA 95204-5508
(209) 948-3333
(209) 948-2665
Mailing address
2488 N CALIFORNIA ST, ALPINE ORTHOPAEDIC MEDICAL GROUP INC, STOCKTON, CA 95204-5508
(209) 948-3333
(209) 948-2665
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G52006
CA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
G52006
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
G52006
CA
207XX0801X
Orthopaedic Trauma Physician
G52006
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0368640001
DMERC
—
01
—
195690700
USDL
—
01
—
200010333
RR MEDICARE
—
01
—
CGP159090
CGP
—
05
—
ZZZ71793Z
—
CA
Enumeration date
05/24/2006
Last updated
05/24/2012
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