Dr. Chien Yuan Cheng
Oral and Maxillofacial Surgeon
1663 Dominican Way Suite 112
Santa Cruz
, California 95065
Dr. Chien Yuan Cheng
Oral and Maxillofacial Surgeon
1663 Dominican Way Suite 112
Santa Cruz
, California 95065
(831) 475-3573
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Chien Yuan Cheng
- 1663 Dominican Way Suite 112
- Santa Cruz, CA
- Zip : 95065
- Fax : (831) 475-3573
- Phone : (831) 475-0221
Second Address
- Dr. Chien Yuan Cheng
- 1663 Dominican Way Suite 112
- Santa Cruz, CA
- Zip : 95065
- Fax : (831) 475-3573
- Phone : (831) 475-0221
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 245438 | CA |
National Provider Identifier
| NPI | 1083728414 |
|---|---|
| Provider Name | Dr. Chien Yuan Cheng |
| First Address | Santa Cruz, CA 95065 |
| Second Address | Santa Cruz, CA 95065 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2006 |
| Last Update Date | 22/02/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1298 | ANESTHESIA LICENSE (01) | CA |
| 45438 | DENTAL LICENSE (01) | CA |
| A88948 | MEDICAL LICENSE (01) | CA |
| BC6075267 | DEA (01) | CA |
| OTH000 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.