Individual
ALEXANDER CHENG-KANG GUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 MARSHALL WAY, PLACERVILLE, CA 95667
(530) 626-1166
(530) 626-3826
Mailing address
681 MAIN STREET STE 105, PLACERVILLE, CA 95667
(530) 626-1166
(530) 626-3826
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
A74167
CA
2085N0700X
Neuroradiology Physician
A74167
CA
2085N0904X
Nuclear Radiology Physician
A74167
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A74167
CA
2085R0203X
Therapeutic Radiology Physician
A74167
CA
2085R0204X
Vascular & Interventional Radiology Physician
A74167
CA
2085R0205X
Radiological Physics Physician
A74167
CA
2085U0001X
Diagnostic Ultrasound Physician
A74167
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A741670
—
CA
05
—
GR0053460
—
CA
Enumeration date
10/12/2006
Last updated
04/08/2014
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