Provider Demographics
NPI:1598938474
Name:HOI CHEUNG MD INC
Entity Type:Organization
Organization Name:HOI CHEUNG MD INC
Other - Org Name:HOI CHEUNG MD INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-300-0885
Mailing Address - Street 1:2707 S DIAMOND BAR BLVD
Mailing Address - Street 2:STE 104
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-3500
Mailing Address - Country:US
Mailing Address - Phone:626-300-0885
Mailing Address - Fax:626-300-0056
Practice Address - Street 1:2707 S DIAMOND BAR BLVD
Practice Address - Street 2:STE 104
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-3500
Practice Address - Country:US
Practice Address - Phone:626-300-0885
Practice Address - Fax:626-300-0056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A363621Medicaid
CA00A363620Medicaid
CA00A363621Medicaid
CA00A363620Medicaid