Healthcare Provider Details

I. General information

NPI: 1730025461
Provider Name (Legal Business Name): REGINA VICHANY CHEA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 REDONDO AVE
LONG BEACH CA
90806-2325
US

IV. Provider business mailing address

2125 TEMPLE AVE
SIGNAL HILL CA
90755-1022
US

V. Phone/Fax

Practice location:
  • Phone: 844-562-1212
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number95413018
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: