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NPI Code Detail

MEDICARE: CHEONYONG DO

MEDICARE: CHEONYONG DO
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
13336C0003XCommunity/Retail PharmacyCA

General Provider Information

NPI Number : 1598631145
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHEONYONG DO
Provider Business Mailing Address
First Line : 501 W CROWTHER AVE UNIT 5094
Second Line :
City : PLACENTIA
State : CA
Zip : 92870-6387
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5317 BEACH BLVD
Second Line :
City : BUENA PARK
State : CA
Zip : 90621-1231
Country : US
Telephone Number : 714-670-7979
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2025
Last Update Date : 10/13/2025

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Directions to “ CHEONYONG DO ” Practice Location

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