MEDICARE: DR. CHRISTOPHER K. 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	2084N0600X	Clinical Neurophysiology Physician	MD60844128	WA
2	2084N0400X	Neurology Physician	MD60844128	WA
3	2084N0400X	Neurology Physician	273367	NY
4	2084N0400X	Neurology Physician	A133131	CA

General Provider Information

NPI Number	:	1700175312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER K. CHENG M.D.

Provider Business Mailing Address
First Line	:	624 W DUARTE RD STE 102
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91007-9259
Country	:	US
Telephone Number	:	626-254-9540
Fax Number	:

Provider Business Practice Location Address
First Line	:	624 W DUARTE RD STE 102
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91007-9259
Country	:	US
Telephone Number	:	626-254-9540
Fax Number	:	626-254-0010

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

Provider Enumeration Date	:	04/04/2011
Last Update Date	:	12/11/2025

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