Wilson Kenneth Leung, DMD
Dentist in Bell, CA. Individual provider (NPI-1).
NPI number1104151653
StatusActive
Last updated in NPPESNov 17, 2011
Details
- NPI
- 1104151653
- Entity type
- Individual (NPI-1)
- Name
- Wilson Kenneth Leung
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2009
- Last updated
- Nov 17, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - ORAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 58224 | CA | Yes |
Practice location
6901 South Atlantic AvenueBell, CA 90201
Phone 323-562-9222 · Fax 323-562-9209
Mailing address
6901 South Atlantic AvenueBell, CA 90201
Phone 323-562-9222 · Fax 323-562-9209
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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