Provider Demographics
NPI:1518039411
Name:CHEUNG, CHEVVY CW (MSW)
Entity Type:Individual
Prefix:MR
First Name:CHEVVY
Middle Name:CW
Last Name:CHEUNG
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 W SUNSET BLVD
Mailing Address - Street 2:600
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-5861
Mailing Address - Country:US
Mailing Address - Phone:213-840-8440
Mailing Address - Fax:323-913-4045
Practice Address - Street 1:5757 W CENTURY BLVD STE 3000
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-6455
Practice Address - Country:US
Practice Address - Phone:310-348-6848
Practice Address - Fax:310-641-4963
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA278451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical