Provider Demographics
NPI:1326629262
Name:CHEUNG, SUSANNA YUK YING (L AC)
Entity Type:Individual
Prefix:MISS
First Name:SUSANNA
Middle Name:YUK YING
Last Name:CHEUNG
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 W WELLS ST
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-3238
Mailing Address - Country:US
Mailing Address - Phone:626-316-9936
Mailing Address - Fax:
Practice Address - Street 1:2750 E WASHINGTON BLVD STE 140
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-1449
Practice Address - Country:US
Practice Address - Phone:626-797-5800
Practice Address - Fax:626-797-5777
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty