Healthcare Provider Details

I. General information

NPI: 1245318328
Provider Name (Legal Business Name): STEVE J. CHENG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 12/08/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 LA CASA VIA STE 320
WALNUT CREEK CA
94598-3018
US

IV. Provider business mailing address

4501 SAND CREEK RD
ANTIOCH CA
94531-8687
US

V. Phone/Fax

Practice location:
  • Phone: 925-939-5599
  • Fax:
Mailing address:
  • Phone: 925-813-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberA78514
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: