Individual
KYLE CHENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2625 W ALAMEDA AVE STE 404, BURBANK, CA 91505-4817
(818) 843-9020
(818) 843-9021
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
149110
CA
207R00000X
Internal Medicine Physician
149110
CA
Other
Enumeration date
04/19/2012
Last updated
08/26/2019
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