MEDICARE: CHENG SAETERN

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	1041C0700X	Clinical Social Worker	85700	CA

General Provider Information

NPI Number	:	1891089355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHENG SAETERN

Provider Business Mailing Address
First Line	:	8788 ELK GROVE BLVD STE I
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95624-1768
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8788 ELK GROVE BLVD STE I
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95624-1768
Country	:	US
Telephone Number	:	916-415-8859
Fax Number	:

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

Provider Enumeration Date	:	06/01/2011
Last Update Date	:	01/04/2020

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Directions to “ CHENG SAETERN ” Practice Location

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