Provider Demographics
NPI:1467516575
Name:CHEUNG, RICHARD SIU - YIN (DC)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:SIU - YIN
Last Name:CHEUNG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 N LAKE AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1202
Mailing Address - Country:US
Mailing Address - Phone:626-398-3838
Mailing Address - Fax:626-398-3088
Practice Address - Street 1:424 N LAKE AVE STE 104
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1202
Practice Address - Country:US
Practice Address - Phone:626-398-3838
Practice Address - Fax:626-398-3088
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-25673111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor