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NPI Code Detail

MEDICARE: DR. SIMON SHEH-MIN CHENG O.D.

MEDICARE:  DR. SIMON SHEH-MIN CHENG  O.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
1152W00000XOptometrist12032TCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396887410
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SIMON SHEH-MIN CHENG O.D.
Provider Business Mailing Address
First Line : 2109 HILLHURST AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-2003
Country : US
Telephone Number : 323-660-2020
Fax Number : 323-660-2888
Provider Business Practice Location Address
First Line : 2109 HILLHURST AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-2003
Country : US
Telephone Number : 323-660-2020
Fax Number : 323-660-2888
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2007
Last Update Date : 03/14/2014

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