Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 10881T | CA |
NPI | 1003959750 |
---|---|
Provider Name | Geri Cheng |
First Address | San Francisco, CA 94121-2602 |
Second Address | San Francisco, CA 94121-2602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 08/07/2007 |