Healthcare Provider Details

I. General information

NPI: 1215093083
Provider Name (Legal Business Name): KAR-LEUNG CHEUNG AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 CALIFORNIA ST STE 130
SAN FRANCISCO CA
94104-2016
US

IV. Provider business mailing address

433 CALIFORNIA ST STE 130
SAN FRANCISCO CA
94104-2016
US

V. Phone/Fax

Practice location:
  • Phone: 415-921-7658
  • Fax: 415-921-2243
Mailing address:
  • Phone: 415-921-7658
  • Fax: 415-921-2243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number3096
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: