Healthcare Provider Details

I. General information

NPI: 1821921362
Provider Name (Legal Business Name): JOSHUA TANG CHUEN CHEUNG AUD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1854 NELSON WAY
SAN JOSE CA
95124-3629
US

IV. Provider business mailing address

1854 NELSON WAY
SAN JOSE CA
95124-3629
US

V. Phone/Fax

Practice location:
  • Phone: 669-212-8155
  • Fax: 408-264-5991
Mailing address:
  • Phone: 669-212-8155
  • Fax: 408-264-5991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU3581
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: