Healthcare Provider Details

I. General information

NPI: 1124726286
Provider Name (Legal Business Name): VIVIAN HUEI-CHIN CHENG PHARM. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2023
Last Update Date: 02/20/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3033 W ORANGE AVE
ANAHEIM CA
92804-3183
US

IV. Provider business mailing address

16311 DRIFTWOOD CT
LA MIRADA CA
90638-6501
US

V. Phone/Fax

Practice location:
  • Phone: 714-827-3000
  • Fax:
Mailing address:
  • Phone: 562-253-5392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number53934
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: