Provider Demographics
NPI:1659879591
Name:CHEUNG, SAMSON HOKCHI (PHD, LAC)
Entity Type:Individual
Prefix:DR
First Name:SAMSON
Middle Name:HOKCHI
Last Name:CHEUNG
Suffix:
Gender:M
Credentials:PHD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32462 MONTEREY DR
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-5151
Mailing Address - Country:US
Mailing Address - Phone:510-429-9305
Mailing Address - Fax:
Practice Address - Street 1:1885 LUNDY AVE STE 108
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-1887
Practice Address - Country:US
Practice Address - Phone:408-260-8868
Practice Address - Fax:408-260-8889
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-25
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC17850171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist