Healthcare Provider Details

I. General information

NPI: 1518385343
Provider Name (Legal Business Name): PAUL KAI HEY CHENG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2014
Last Update Date: 01/06/2024
Certification Date: 01/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 V ST STE 1200
SACRAMENTO CA
95817-1460
US

IV. Provider business mailing address

4150 V ST STE 1200
SACRAMENTO CA
95817-1460
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-5028
  • Fax:
Mailing address:
  • Phone: 916-734-5028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberA155257
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberA155257
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: