Cheung, Susan
Cheung, Susan is an individual health care provider with primary practice located at 12672 Limonite Ave Suite 3F, Corona CA 92880-4201. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Cheung, Susan can be contacted via phone (951) 582-9090.Contact Information
Primary practice address
12672 Limonite Ave Suite 3F
Corona CA 92880-4201
Phone: (951) 582-9090
Fax: (951) 582-9991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 11463T | California |
Profile Details
| NPI number | 1891840195 |
|---|---|
| LBN Legal business name | Cheung, Susan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Nov 24th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891840195 | NPPES |
| California | MEDICAID | SD0114630 |
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