Cheng, Ivan W

Cheng, Ivan W is an individual health care provider with primary practice located at 2351 Clay St 501, San Francisco CA 94115-1931. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Cheng, Ivan W can be contacted via phone (415) 923-3421.

Contact Information

Primary practice address
2351 Clay St 501 San Francisco CA 94115-1931
Fax: (415) 600-1414
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X A63339 California
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X A63339 California

Profile Details

NPI number 1639253438
LBN Legal business name Cheng, Ivan W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Dec 13th, 2021 - about 4 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639253438 NPPES
California MEDICAID 00A633390

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