Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 036-130915 | IL |
N | 2081P2900X | Pain Medicine | 260245-1 | NY |
Y | 2081P2900X | Pain Medicine | A121056 | CA |
NPI | 1316114119 |
---|---|
Provider Name | David Shengwen Cheng |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90033-5328 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2008 |
Last Update Date | 25/08/2020 |