Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | A95726 | CA |
N | 208000000X | Pediatrician | A95726 | CA |
Y | 2080P0201X | Pediatric Allergist | A95726 | CA |
NPI | 1164636593 |
---|---|
Provider Name | Dr. Laurence Cheng |
First Address | San Francisco, CA 94143-2204 |
Second Address | San Francisco, CA 94143-2204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 26/03/2009 |