Leung, Audrey San

Leung, Audrey San is an individual health care provider with primary practice located at 915 N Grand Blvd # B719 , Saint Louis MO 63106-1621. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine. Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine is her primary health care specialty. Leung, Audrey San can be contacted via phone (314) 242-9583.

Contact Information

Primary practice address
915 N Grand Blvd # B719 Saint Louis MO 63106-1621
Phone: (314) 242-9583
Fax: (314) 289-7023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD61087441 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R-10441 Iowa
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X MD61087441 Washington
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X ML60951455 Washington

Profile Details

NPI number 1790168474
LBN Legal business name Leung, Audrey San
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2015
Last updated Feb 5th, 2026 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790168474 NPPES
Washington MEDICAID 1790168474

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