Provider Demographics
NPI:1265597694
Name:KEUNG, ROBERTA CHIN (MPH, CGC)
Entity type:Individual
Prefix:
First Name:ROBERTA
Middle Name:CHIN
Last Name:KEUNG
Suffix:
Gender:F
Credentials:MPH, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1188 N EUCLID ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-1900
Mailing Address - Country:US
Mailing Address - Phone:714-254-2708
Mailing Address - Fax:714-254-2953
Practice Address - Street 1:1188 N EUCLID ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-1900
Practice Address - Country:US
Practice Address - Phone:714-254-2708
Practice Address - Fax:714-254-2953
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS