Healthcare Provider Details

I. General information

NPI: 1841107596
Provider Name (Legal Business Name): VOUCHNAI CHHEANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 HERNDON AVE
CLOVIS CA
93611-0505
US

IV. Provider business mailing address

1650 HERNDON AVE
CLOVIS CA
93611-0505
US

V. Phone/Fax

Practice location:
  • Phone: 559-297-6440
  • Fax: 559-297-6440
Mailing address:
  • Phone: 559-297-6440
  • Fax: 559-297-6440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number92783
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: