| Christi Cheng Md Inc | |
|
13851 E 14th St Ste 102 San Leandro CA 94578-2628 | |
| (510) 351-2100 | |
| (510) 357-3389 |
| Full Name | Christi Cheng Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 13851 E 14th St Ste 102, San Leandro, California |
| Authorized Official Name and Position | Yvonne Bell (BUSINESS OFFICE) |
| Authorized Official Contact | 5103512100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christi Cheng Md Inc 13851 E 14th St Ste 102 San Leandro CA 94578-2628 Ph: (510) 351-2100 | Christi Cheng Md Inc 13851 E 14th St Ste 102 San Leandro CA 94578-2628 Ph: (510) 351-2100 |
| NPI Number | 1225187339 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 06/17/2015 |
| Medicare PECOS PAC ID | 5092740530 |
|---|---|
| Medicare Enrollment ID | O20051003000910 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225187339 | NPI | - | NPPES |
| 00G772110 | Other | CA | CALIFORNIA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Christi C Cheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982674685 PECOS PAC ID: 8921033416 Enrollment ID: I20051004000391 |
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