MISS AUDREY SAN LEUNG MD NPI 1790168474

NPI Information

NPI: 1790168474
Provider Name: MISS AUDREY SAN LEUNG, MD
Classification: Physical Medicine & Rehabilitation - 2081P0004X
Entity Type: Individual

Specialization: Spinal Cord Injury Medicine

PECOS Registration: Yes

Address:
325 9TH AVE
SEATTLE, WA
ZIP 98104
Phone: (206) 520-5000
Get Directions

MISS Audrey San Leung, MD is a spinal cord injury medicine physical medicine rehabilitation in Seattle, WA with 9 years of experience. The provider is a physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. MISS Audrey San Leung, MD NPI is 1790168474. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

325 9TH AVE
SEATTLE, WA
ZIP 98104-420
Phone: (206) 520-5000

The NPI 1790168474 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2015 and was last updated on 8/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		R-10441	IOWA	No
2	208100000X	Physical Medicine & Rehabilitation		MD61087441	WASHINGTON	No
3	2081P0004X	Physical Medicine & Rehabilitation	Spinal Cord Injury Medicine	MD61087441	WASHINGTON	Yes
4	2081P0004X	Physical Medicine & Rehabilitation	Spinal Cord Injury Medicine	ML60951455	WASHINGTON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1790168474	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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