Provider Demographics
NPI:1477433886
Name:MUONG, NEARY CHHUN
Entity type:Individual
Prefix:
First Name:NEARY
Middle Name:CHHUN
Last Name:MUONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17624 WALNUT RD
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-1352
Mailing Address - Country:US
Mailing Address - Phone:510-537-3000
Mailing Address - Fax:
Practice Address - Street 1:4400 ALMA AVE
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-3104
Practice Address - Country:US
Practice Address - Phone:510-537-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach