Provider Demographics
NPI:1205855772
Name:CHENG, JEANY CHIN-NI (NP)
Entity type:Individual
Prefix:MS
First Name:JEANY
Middle Name:CHIN-NI
Last Name:CHENG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N. SANTA ANITA
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006
Mailing Address - Country:US
Mailing Address - Phone:626-821-5998
Mailing Address - Fax:626-821-5990
Practice Address - Street 1:100 N SANTA ANITA AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3108
Practice Address - Country:US
Practice Address - Phone:626-821-5998
Practice Address - Fax:626-821-5990
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP13946207RH0003X
CA13946363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWNP13946AMedicare PIN
CAQ71502Medicare UPIN