Healthcare Provider Details
I. General information
NPI: 1255213930
Provider Name (Legal Business Name): CINDY CHENG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/23/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12602 VENTURA BLVD
STUDIO CITY CA
91604-2414
US
IV. Provider business mailing address
3215 GEORGE CIR
PASADENA CA
91107-5515
US
V. Phone/Fax
- Phone: 818-762-2055
- Fax:
- Phone: 626-524-2711
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 50473 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: