Individual
MISS BETTY KWAI PING CHEUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
923 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776-2743
(626) 286-8700
(626) 286-8650
Mailing address
923 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776-2743
(626) 286-8700
(626) 286-8650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1033390273
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033390273
NPI
CA
05
—
CMM71178F
—
CA
05
—
CY362A
—
CA
Enumeration date
11/02/2012
Last updated
11/02/2012
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