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NPI Code Detail

MEDICARE: MICHELLE CHENG

MEDICARE: MICHELLE CHENG
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
1183500000XPharmacist77778CA

General Provider Information

NPI Number : 1457831224
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE CHENG
Provider Business Mailing Address
First Line : 8917 TRAUTWEIN RD
Second Line :
City : RIVERSIDE
State : CA
Zip : 92508-9473
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8917 TRAUTWEIN RD
Second Line :
City : RIVERSIDE
State : CA
Zip : 92508-9473
Country : US
Telephone Number : 951-776-0116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2018
Last Update Date : 08/20/2018

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Directions to “ MICHELLE CHENG ” Practice Location

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