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General NPI Number Information
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NPI Number | 1962044768
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Entity Type | Organization
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Legal Business Name | RAINA CHEUNG, O.D., INC.
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Dates
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Enumeration Date | 10/14/2019
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 937 E LAS TUNAS DR STE A
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City | SAN GABRIEL
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State | CA
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Zip | 91776-1600
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Country | US
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Telephone | 626-287-2020
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Fax | 626-287-0257
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Provider Business Mailing Address
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Address Line | 937 E LAS TUNAS DR STE A
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City | SAN GABRIEL
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State | CA
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Zip | 91776-1600
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Country | US
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Telephone | 626-287-2020
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Fax | 626-287-0257
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | RAINA CHEUNG
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Credential | OD
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Telephone | 626-510-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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