NPI Code Details Logo

NPI 1689104010

NPI 1689104010 : JENNY ZHAO CHENG MD : SEATTLE, WA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1689104010
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JENNY ZHAO CHENG MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/18/2017
-----------------------------------------------------
    Last Update Date     |    09/26/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1100 9TH AVE 
-----------------------------------------------------
    City                 |    SEATTLE
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98101-2756
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    206-223-6980
-----------------------------------------------------
    Fax                  |    206-223-6982
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 741515 
-----------------------------------------------------
    City                 |    LOS ANGELES
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90074-1515
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207L00000X
-----------------------------------------------------
    Taxonomy Name        |    Anesthesiology Physician
-----------------------------------------------------
    License Number       |    287671
-----------------------------------------------------
    License Number State |    MA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    271306
-----------------------------------------------------
    License Number State |    MA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    208VP0000X
-----------------------------------------------------
    Taxonomy Name        |    Pain Medicine Physician
-----------------------------------------------------
    License Number       |    287671
-----------------------------------------------------
    License Number State |    MA
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    207L00000X
-----------------------------------------------------
    Taxonomy Name        |    Anesthesiology Physician
-----------------------------------------------------
    License Number       |    MD61529764
-----------------------------------------------------
    License Number State |    WA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.