MEDICARE: YVONNE CHENG PHARMD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	69732	CA

General Provider Information

NPI Number	:	1194188573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVONNE CHENG PHARMD.

Provider Business Mailing Address
First Line	:	5130 BROADWAY
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-4620
Country	:	US
Telephone Number	:	510-658-5693
Fax Number	:

Provider Business Practice Location Address
First Line	:	5130 BROADWAY
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-4620
Country	:	US
Telephone Number	:	510-658-5693
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2016
Last Update Date	:	04/01/2016

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