Healthcare Provider Details

I. General information

NPI: 1215566195
Provider Name (Legal Business Name): MICHAEL ZHAO CHENG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 08/23/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2390 FARADAY AVE
CARLSBAD CA
92008-7216
US

IV. Provider business mailing address

2390 FARADAY AVE
CARLSBAD CA
92008-7216
US

V. Phone/Fax

Practice location:
  • Phone: 224-904-2600
  • Fax:
Mailing address:
  • Phone: 224-904-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberA203191
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: