Healthcare Provider Details

I. General information

NPI: 1700175312
Provider Name (Legal Business Name): CHRISTOPHER K. CHENG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2011
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 W DUARTE RD STE 102
ARCADIA CA
91007-9259
US

IV. Provider business mailing address

624 W DUARTE RD STE 102
ARCADIA CA
91007-9259
US

V. Phone/Fax

Practice location:
  • Phone: 626-254-9540
  • Fax: 626-254-0010
Mailing address:
  • Phone: 626-254-9540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License NumberMD60844128
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD60844128
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number273367
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA133131
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: