Healthcare Provider Details

I. General information

NPI: 1598938474
Provider Name (Legal Business Name): HOI CHEUNG MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2008
Last Update Date: 04/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2707 S DIAMOND BAR BLVD STE 104
DIAMOND BAR CA
91765-3500
US

IV. Provider business mailing address

2707 S DIAMOND BAR BLVD STE 104
DIAMOND BAR CA
91765-3500
US

V. Phone/Fax

Practice location:
  • Phone: 626-300-0885
  • Fax: 626-300-0056
Mailing address:
  • Phone: 626-300-0885
  • Fax: 626-300-0056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HOI CHEUNG
Title or Position: PRESIDENT
Credential: M.D.
Phone: 626-300-0885