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SIMON CHEUNG A PROFESSIONAL CORP NPI 1891875258


NPI Information

NPI: 1891875258
Provider Name: SIMON CHEUNG, A PROFESSIONAL CORP
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
11100 WARNER AVE STE 310
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 424-0109
Get Directions

SIMON CHEUNG, A PROFESSIONAL CORP is a cardiovascular disease internal medicine in Fountain Valley, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SIMON CHEUNG, A PROFESSIONAL CORP NPI is 1891875258. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11100 WARNER AVE STE 310
FOUNTAIN VALLEY, CA
ZIP 92708-009
Phone: (714) 424-0109
Fax: (714) 424-0119

The provider's authorized official is Simon Cheung .
The authorized official title is President and has the following contact phone number (714) 424-0109.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 10/14/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseG87151CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G871511MEDICAIDCALIFORNIA
2H47557MEDICARE UPINCALIFORNIA
300G871510OTHERCALIFORNIABLUE SHIELD
4W17814MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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