Provider Demographics
NPI:1770799942
Name:CHEUNG, SUM CHRISTINE (MD)
Entity type:Individual
Prefix:
First Name:SUM
Middle Name:CHRISTINE
Last Name:CHEUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11175 CAMPUS ST
Mailing Address - Street 2:COLEMAN PAVILION, SUITE 11105
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92350-1700
Mailing Address - Country:US
Mailing Address - Phone:909-651-5534
Mailing Address - Fax:909-651-5401
Practice Address - Street 1:11175 CAMPUS ST
Practice Address - Street 2:COLEMAN PAVILION, SUITE 11105
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92350-1700
Practice Address - Country:US
Practice Address - Phone:909-651-5534
Practice Address - Fax:909-651-5401
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA98149207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology