Individual
DR. CHENG-HAN CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
24022 CALLE DE LA PLATA STE 500, LAGUNA HILLS, CA 92653-7612
(714) 445-0220
(714) 445-0246
Mailing address
3080 BRISTOL STREET, SUITE 150, COSTA MESA, CA 92626-7341
(714) 445-0220
(714) 445-0245
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A110621
CA
207RC0000X
Cardiovascular Disease Physician
278434
NY
207RI0011X
Interventional Cardiology Physician
Primary
A110621
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A110621
CALIFORNIA MEDICAL LICENSE
CA
Enumeration date
11/11/2008
Last updated
03/25/2020
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