Healthcare Provider Details

I. General information

NPI: 1588282263
Provider Name (Legal Business Name): SABRINA FLORES CHENG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2020
Last Update Date: 07/09/2020
Certification Date: 07/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 HILL ST
MILL VALLEY CA
94941-2007
US

IV. Provider business mailing address

8 HILL ST
MILL VALLEY CA
94941-2007
US

V. Phone/Fax

Practice location:
  • Phone: 415-888-8773
  • Fax:
Mailing address:
  • Phone: 415-888-8773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License NumberA75343
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: