MEDICARE: DR. SUNNY CHI FUNG CHEUNG M.D.

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	207X00000X	Orthopaedic Surgery Physician	A92134	CA

General Provider Information

NPI Number	:	1932398526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUNNY CHI FUNG CHEUNG M.D.

Provider Business Mailing Address
First Line	:	19333 BEAR VALLEY RD
Second Line	:	SUITE 104
City	:	APPLE VALLEY
State	:	CA
Zip	:	92308-5148
Country	:	US
Telephone Number	:	760-247-8462
Fax Number	:	760-247-8527

Provider Business Practice Location Address
First Line	:	19333 BEAR VALLEY RD
Second Line	:	SUITE 104
City	:	APPLE VALLEY
State	:	CA
Zip	:	92308-5148
Country	:	US
Telephone Number	:	760-247-8462
Fax Number	:	760-247-8527

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

Provider Enumeration Date	:	10/18/2007
Last Update Date	:	07/02/2013

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