Healthcare Provider Details

I. General information

NPI: 1487573770
Provider Name (Legal Business Name): MISS STEPHANIE CHEON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10440 PARAMOUNT BLVD APT B220
DOWNEY CA
90241-2327
US

IV. Provider business mailing address

10440 PARAMOUNT BLVD APT B220
DOWNEY CA
90241-2327
US

V. Phone/Fax

Practice location:
  • Phone: 213-270-5882
  • Fax:
Mailing address:
  • Phone: 213-270-5882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC20100
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: