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Individual

JOSEPH C CHENG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15035 E 14TH ST, SAN LEANDRO, CA 94578-1901
(510) 481-3400
(510) 481-3404
Mailing address
15035 E 14TH ST, SAN LEANDRO, CA 94578-1901
(510) 481-3400
(510) 481-3404

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
G76405
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G764050
CA
01
P00024478
RAILROAD MEDICARE NUMBER
CA
Enumeration date
09/06/2006
Last updated
07/09/2007
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