Provider Demographics
NPI:1407916778
Name:CHEUNG, HO WAI (LAC, PHD)
Entity Type:Individual
Prefix:DR
First Name:HO WAI
Middle Name:
Last Name:CHEUNG
Suffix:
Gender:M
Credentials:LAC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 BROADWAY
Mailing Address - Street 2:SUITE 8
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3458
Mailing Address - Country:US
Mailing Address - Phone:650-343-9911
Mailing Address - Fax:
Practice Address - Street 1:1425 BROADWAY
Practice Address - Street 2:SUITE 8
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-3458
Practice Address - Country:US
Practice Address - Phone:650-343-9911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6651171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist