Individual
DR. JULIE C CHENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15975 HARBOR BLVD, FOUNTAIN VALLEY, CA 92708-1303
(714) 546-6575
(714) 551-9411
Mailing address
2 OAKDALE, IRVINE, CA 92604-3221
(714) 546-6575
(714) 551-9411
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A79108
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A791080
—
CA
05
—
GR0061190
—
CA
05
—
GR0061200
—
CA
Enumeration date
10/20/2006
Last updated
01/05/2017
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