MEDICARE: PHILIP CHEU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	G77212	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00G77212	OTHER	CA	MEDICAL #

General Provider Information

NPI Number	:	1568467215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP CHEU MD

Provider Business Mailing Address
First Line	:	PO BOX 35380
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-5380
Country	:	US
Telephone Number	:	702-579-3203
Fax Number	:

Provider Business Practice Location Address
First Line	:	3501 S HARBOR BLVD STE 200
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92704-6940
Country	:	US
Telephone Number	:	714-929-2300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2005
Last Update Date	:	12/08/2025

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Directions to “ PHILIP CHEU MD” Practice Location

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