MEDICARE: MRS. COLLEEN SOONG CHUEH RN

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	163W00000X	Registered Nurse	506395	CA
2	163WC1500X	Community Health Registered Nurse	506395	CA

General Provider Information

NPI Number	:	1780640649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. COLLEEN SOONG CHUEH RN

Provider Business Mailing Address
First Line	:	4600 BROADWAY
Second Line	:	SUITE #1100
City	:	SACRAMENTO
State	:	CA
Zip	:	95820-1527
Country	:	US
Telephone Number	:	916-874-9753
Fax Number	:	916-874-9297

Provider Business Practice Location Address
First Line	:	4600 BROADWAY
Second Line	:	SUITE #1100
City	:	SACRAMENTO
State	:	CA
Zip	:	95820-1527
Country	:	US
Telephone Number	:	916-874-9753
Fax Number	:	916-874-9297

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

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	09/11/2025

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