Individual
CHIYUAN CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1101 S WINCHESTER BLVD STE D138, SAN JOSE, CA 95128-3914
(408) 394-0288
Mailing address
1735 CAPE HORN PL, SAN JOSE, CA 95133-1572
(626) 203-1419
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
34290
CA
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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