Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 30933 | CA |
Y | 213EG0000X | General Practice | 30933 | CA |
NPI | 1003021098 |
---|---|
Provider Name | Dr. Kevin Kay Cheung |
First Address | Oakland, CA 94607-4254 |
Second Address | Oakland, CA 94607-4254 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 08/07/2007 |