Individual
JEAN CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8990 GARFIELD ST, STE 2, RIVERSIDE, CA 92503-3922
(951) 785-5421
(951) 785-0130
Mailing address
8990 GARFIELD ST, STE 2, RIVERSIDE, CA 92503-3922
(951) 785-5421
(951) 785-0130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A60710
CA
207W00000X
Ophthalmology Physician
Primary
A60710
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A607101
—
CA
05
—
00A607102
—
CA
Enumeration date
01/16/2007
Last updated
02/14/2013
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