Provider Demographics
NPI:1962495754
Name:CHEUNG, YUK FAN (NP)
Entity Type:Individual
Prefix:
First Name:YUK FAN
Middle Name:
Last Name:CHEUNG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:YUK FAN
Other - Middle Name:
Other - Last Name:CHEUNG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PAC
Mailing Address - Street 1:2400 MOORPARK AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2631
Mailing Address - Country:US
Mailing Address - Phone:408-885-4733
Mailing Address - Fax:408-885-4728
Practice Address - Street 1:2400 MOORPARK AVE
Practice Address - Street 2:100
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2631
Practice Address - Country:US
Practice Address - Phone:408-885-4733
Practice Address - Fax:408-885-4728
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA 15846363A00000X
CANP 12274363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant