Individual provider · NPI-1

Dr. Susan Cheung, O.D.

Optometrist · Corona, CA

NPI number1891840195
StatusActive
Last updated in NPPESNov 24, 2009

Details

NPI
1891840195
Entity type
Individual (NPI-1)
Name
Dr. Susan Cheung
Credential
O.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jan 24, 2007
Last updated
Nov 24, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist11463TCAYes

Practice location

12672 Limonite Ave
Suite 3f
Corona, CA 92880-4201

Phone 951-582-9090 · Fax 951-582-9991

Mailing address

6610 Black Forest Dr
Corona, CA 92880-3921

Phone 951-582-9090

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