MEDICARE: MARLYN CHENG MD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	A52302	CA

General Provider Information

NPI Number	:	1164633749
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARLYN CHENG MD INC

Provider Business Mailing Address
First Line	:	1171 S ROBERTSON BLVD
Second Line	:	SUITE 175
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-1403
Country	:	US
Telephone Number	:	310-625-4944
Fax Number	:	310-559-9507

Provider Business Practice Location Address
First Line	:	1171 S ROBERTSON BLVD STE 175
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-1403
Country	:	US
Telephone Number	:	310-625-4944
Fax Number	:	310-559-9507

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARLYN CHENG
Credential	:	M.D.
Telephone Number	:	310-625-4944

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	06/20/2022

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Directions to “MARLYN CHENG MD INC ” Practice Location

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