Healthcare Provider Details

I. General information

NPI: 1154256493
Provider Name (Legal Business Name): JOEY CHEUNG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S SAN MATEO DR
SAN MATEO CA
94401-3805
US

IV. Provider business mailing address

100 S SAN MATEO DR
SAN MATEO CA
94401-3805
US

V. Phone/Fax

Practice location:
  • Phone: 650-696-4533
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0205X
TaxonomyRadiological Physics Physician
License NumberTCP-00361
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: