Sophia Cheng Jr, is a
Licensed Vocational Nurse based in San Jose, California. Sophia Cheng Jr is licensed to practice in California (license number VN209795) and her current practice location is
1340 Tully Rd, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(408) 271-3900.
NPI number for Sophia Cheng Jr is 1669915948 and her current mailing address is 7221 Via Vico, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669915948.
Healthcare Provider's Profile
| Full Name | Sophia Cheng Jr |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Vocational Nurse |
|---|
| Location | 1340 Tully Rd, San Jose, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669915948
- Provider Enumeration Date: 11/18/2016
- Last Update Date: 10/27/2021
Medical Identifiers
Medical identifiers for Sophia Cheng Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669915948 | NPI | - | NPPES |
| 1669915948 | Other | | MENTAL HEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (NU) | Secondary |
| 164X00000X | Licensed Vocational Nurse | VN209795 (California) | Primary |
| 106S00000X | Behavior Technician | (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sophia Cheng Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Sophia Cheng Jr, 7221 Via Vico, San Jose, CA 95129 Ph: (408) 401-6976 | Sophia Cheng Jr, 1340 Tully Rd, San Jose, CA 95122-3055 Ph: (408) 271-3900 |
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