Provider Demographics
NPI:1962882167
Name:LEUNG, CHERISH KIMIKO (DMD, MPH, MHA)
Entity type:Individual
Prefix:DR
First Name:CHERISH
Middle Name:KIMIKO
Last Name:LEUNG
Suffix:
Gender:F
Credentials:DMD, MPH, MHA
Other - Prefix:
Other - First Name:CHERISH
Other - Middle Name:KIMIKO
Other - Last Name:HIRANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5001 CERRITOS AVE STE B
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-4570
Mailing Address - Country:US
Mailing Address - Phone:714-723-6271
Mailing Address - Fax:
Practice Address - Street 1:5001 CERRITOS AVE STE B
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-4570
Practice Address - Country:US
Practice Address - Phone:714-723-6271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1017281223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty