Healthcare Provider Details

I. General information

NPI: 1497682306
Provider Name (Legal Business Name): JAMES CHENG DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11421 WASHINGTON BLVD
WHITTIER CA
90606-3121
US

IV. Provider business mailing address

4825 CYPRESS ST APT 4-215
MONTCLAIR CA
91763-1466
US

V. Phone/Fax

Practice location:
  • Phone: 408-913-3020
  • Fax:
Mailing address:
  • Phone: 408-913-3020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number112843
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: