Provider Demographics
NPI:1144753468
Name:CHENG, JOYCE (MD, MHS)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:
Last Name:CHENG
Suffix:
Gender:F
Credentials:MD, MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9850 GENESEE AVE STE 850
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1233
Mailing Address - Country:US
Mailing Address - Phone:858-657-0267
Mailing Address - Fax:858-657-9485
Practice Address - Street 1:9850 GENESEE AVE STE 850
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1233
Practice Address - Country:US
Practice Address - Phone:858-657-0267
Practice Address - Fax:858-657-9485
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-04
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA158031207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology