Individual
VAN LE CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
336 ENCINITAS BLVD, SUITE 130, ENCINITAS, CA 92024-8707
(858) 279-1212
(858) 279-1420
Mailing address
336 ENCINITAS BLVD, SUITE 130, ENCINITAS, CA 92024-8707
(858) 279-1212
(858) 279-1420
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
BC9575551
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00998140
RAILROAD MEDICARE PTAN
CA
01
—
SP01000776
MEDICARE PTAN
CA
Enumeration date
03/08/2007
Last updated
10/09/2014
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