MEDICARE: WARREN HUALUN CHEUNG P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	18631	CA

General Provider Information

NPI Number	:	1821166919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WARREN HUALUN CHEUNG P.T.

Provider Business Mailing Address
First Line	:	3700 VACA VALLEY PKWY
Second Line	:
City	:	VACAVILLE
State	:	CA
Zip	:	95688-9430
Country	:	US
Telephone Number	:	707-453-5252
Fax Number	:

Provider Business Practice Location Address
First Line	:	3700 VACA VALLEY PKWY
Second Line	:
City	:	VACAVILLE
State	:	CA
Zip	:	95688-9430
Country	:	US
Telephone Number	:	707-453-5252
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	01/03/2022

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