Organization
SIMON CHEUNG, A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON CHEUNG M.D. (PRESIDENT)
(714) 424-0109
Entity
Organization
Contact information
Practice address
11100 WARNER AVE STE 310, FOUNTAIN VALLEY, CA 92708-4009
(714) 424-0109
(714) 424-0119
Mailing address
11100 WARNER AVE STE 310, FOUNTAIN VALLEY, CA 92708-4009
(714) 424-0109
(714) 424-0119
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G87151
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G871510
BLUE SHIELD
CA
05
—
00G871511
—
CA
Enumeration date
10/17/2006
Last updated
10/14/2010
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