Provider Demographics
NPI:1730374802
Name:LEUNG, CHRISTINA DARLENE (OD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:DARLENE
Last Name:LEUNG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:CHRISTINA
Other - Middle Name:DARLENE
Other - Last Name:KO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:25252 MCINTYRE ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-5448
Mailing Address - Country:US
Mailing Address - Phone:949-586-8200
Mailing Address - Fax:949-586-1538
Practice Address - Street 1:475 W BADILLO ST
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-1834
Practice Address - Country:US
Practice Address - Phone:626-732-2200
Practice Address - Fax:626-732-2900
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13311152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist