Justin Jun-Young Cheng
Internal Medicine, Geriatric Medicine in Los Angeles, CA. Individual provider (NPI-1).
NPI number1114486255
StatusActive
Last updated in NPPESMay 7, 2024
Details
- NPI
- 1114486255
- Entity type
- Individual (NPI-1)
- Name
- Justin Jun-Young Cheng
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2019
- Certification date
- Jul 4, 2023
- Last updated
- May 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0300X | Internal Medicine, Geriatric Medicine | A180909 | CA | Yes |
Practice location
11301 Wilshire BlvdLos Angeles, CA 90073-1003
Phone 310-478-3711
Mailing address
11301 Wilshire BlvdLos Angeles, CA 90073-1003
Phone 310-478-3711
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