Provider Demographics
NPI:1649424524
Name:CHEUNG, ERICK H (MD)
Entity Type:Individual
Prefix:DR
First Name:ERICK
Middle Name:H
Last Name:CHEUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 UCLA MEDICAL PLZ
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-6968
Mailing Address - Country:US
Mailing Address - Phone:310-206-5361
Mailing Address - Fax:310-206-8387
Practice Address - Street 1:300 UCLA MEDICAL PLZ
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-6968
Practice Address - Country:US
Practice Address - Phone:310-206-5361
Practice Address - Fax:310-206-8387
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
283Q00000X
CAA1069912084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFD239ZMedicare PIN