MEDICARE: ANNA 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	208100000X	Physical Medicine & Rehabilitation Physician	A124101	CA

General Provider Information

NPI Number	:	1902290620
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNA CHENG MD INC

Provider Business Mailing Address
First Line	:	19239 COLIMA RD
Second Line	:
City	:	ROWLAND HGHTS
State	:	CA
Zip	:	91748-3005
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	19239 COLIMA RD
Second Line	:
City	:	ROWLAND HGHTS
State	:	CA
Zip	:	91748-3005
Country	:	US
Telephone Number	:	626-581-7898
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT / CEO
Name	:	ANNA CHENG
Credential	:	MD
Telephone Number	:	646-851-8268

Provider Enumeration Date	:	03/19/2015
Last Update Date	:	03/19/2015

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