MEDICARE: KAREN P. CHENG M.D.

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	2085R0001X	Radiation Oncology Physician	A181685	CA

General Provider Information

NPI Number	:	1316407422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN P. CHENG M.D.

Provider Business Mailing Address
First Line	:	PO BOX 512185
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90051-0185
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6939 PALM CT
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-2815
Country	:	US
Telephone Number	:	951-683-6771
Fax Number	:	951-683-7450

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2019
Last Update Date	:	05/07/2024

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