Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35-084868 | OH |
N | 207V00000X | Obstetrician & Gynecologist | A76760 | CA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | A76760 | CA |
NPI | 1194740480 |
---|---|
Provider Name | Dr. Bonnie W. Cheung |
First Address | Claremont, CA 91711-1601 |
Second Address | Pasadena, CA 91105-3045 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 05/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000509153 | ANTHEM (01) | OH |
221434 | UNISON (01) | OH |
2493494 | (05) | OH |
7835617 | AETNA (01) | OH |
I13225 | (02) | OH |