Individual
CHARLES JENG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3530 W POMONA BLVD, POMONA, CA 91769-0100
(909) 595-1221
Mailing address
1600 9TH ST, RM 205 MAILSTOP 2-3, SACRAMENTO, CA 95814-6414
(916) 654-2431
(916) 654-3186
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A34235
CA
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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