Cheng, Ivy Ya Wen

Cheng, Ivy Ya Wen is an sole proprietor health care provider with primary practice located at 6701 Carnelian St , Alta Loma CA 91701-4556. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Cheng, Ivy Ya Wen can be contacted via phone (909) 581-1157.

Contact Information

Primary practice address
6701 Carnelian St Alta Loma CA 91701-4556
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 52885 California

Profile Details

NPI number 1487921334
LBN Legal business name Cheng, Ivy Ya Wen
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2011
Last updated Nov 21st, 2011 - about 14 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 1487921334 NPPES
California Other 52885 PHARMACIST LICENSE NUMBER

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