Individual
JEFFREY CHENG-TA PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 E HAMILTON AVE STE 120, CAMPBELL, CA 95008-0251
(408) 357-1410
Mailing address
50 E HAMILTON AVE STE 120, CAMPBELL, CA 95008-0251
(408) 357-1410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A144595
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
A144595
CA
Other
Enumeration date
06/19/2015
Last updated
01/18/2023
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