Cheng, Chien Yuan
Cheng, Chien Yuan is an individual health care provider with primary practice located at 1663 Dominican Way Suite 112, Santa Cruz CA 95065. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Cheng, Chien Yuan can be contacted via phone (831) 475-0221.Contact Information
Primary practice address
1663 Dominican Way Suite 112
Santa Cruz CA 95065
Phone: (831) 475-0221
Fax: (831) 475-3573
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 245438 | California |
Profile Details
NPI number | 1083728414 |
---|---|
LBN Legal business name | Cheng, Chien Yuan |
Credentials | DDS MD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 19th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083728414 | NPPES |
California | Other | 45438 | DENTAL LICENSE |
California | Other | 1298 | DENTAL LICENSE |
California | Other | A88948 | DENTAL LICENSE |
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