Provider Demographics
NPI:1790919389
Name:CHEUNG, AMY S (N P)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:S
Last Name:CHEUNG
Suffix:
Gender:F
Credentials:N P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S BUENA VISTA ST
Mailing Address - Street 2:SUITE #100
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4569
Mailing Address - Country:US
Mailing Address - Phone:818-848-6404
Mailing Address - Fax:818-525-5136
Practice Address - Street 1:145 VISTA AVE
Practice Address - Street 2:SUITE #101
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3607
Practice Address - Country:US
Practice Address - Phone:626-793-2885
Practice Address - Fax:626-793-6262
Is Sole Proprietor?:No
Enumeration Date:2009-05-11
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA684680163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse