| Cheng M D Inc | |
|
10 Congress St Ste 400 Pasadena CA 91105-3020 | |
| (626) 449-6223 | |
| Not Available |
| Full Name | Cheng M D Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 Congress St Ste 400, Pasadena, California |
| Authorized Official Name and Position | Connie Yu Heng Cheng (PHYSICIAN) |
| Authorized Official Contact | 6263848125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cheng M D Inc 3035 E Charlinda St West Covina CA 91791-2905 Ph: (626) 384-8125 | Cheng M D Inc 10 Congress St Ste 400 Pasadena CA 91105-3020 Ph: (626) 449-6223 |
| NPI Number | 1730826694 |
|---|---|
| Provider Enumeration Date | 05/12/2022 |
| Last Update Date | 08/29/2022 |
| Certification Date | 08/29/2022 |
| Medicare PECOS PAC ID | 7810371200 |
|---|---|
| Medicare Enrollment ID | O20220902001845 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730826694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QC1500X | Clinic/center - Community Health | () | Secondary |
| 261QH0100X | Clinic/center - Health Service | () | Primary |
| Provider Name | Connie Yu Heng Cheng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437504792 PECOS PAC ID: 4486902228 Enrollment ID: I20200806000873 |
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