Healthcare Provider Details

I. General information

NPI: 1427052018
Provider Name (Legal Business Name): LAIHIN J CHEUNG LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/10/2005
Last Update Date: 10/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 S MARY AVE STE 208
SUNNYVALE CA
94087-3060
US

IV. Provider business mailing address

1309 S MARY AVE STE 208
SUNNYVALE CA
94087-3060
US

V. Phone/Fax

Practice location:
  • Phone: 408-744-9562
  • Fax: 408-503-0055
Mailing address:
  • Phone: 408-744-9562
  • Fax: 408-503-0055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS13879
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: