Individual
GRACE CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
370 DISTEL CIR, LOS ALTOS, CA 94022-1404
(650) 254-5200
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 254-5200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A78440
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A784400
—
CA
Enumeration date
11/01/2006
Last updated
05/27/2020
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