Rudy Cheng
Specialist/Technologist, Athletic Trainer in Ventura, CA. Individual provider (NPI-1).
NPI number1215405634
StatusActive
Last updated in NPPESNov 3, 2018
Details
- NPI
- 1215405634
- Entity type
- Individual (NPI-1)
- Name
- Mr. Rudy Cheng
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 3, 2018
- Last updated
- Nov 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | CA | Yes |
Practice location
9132 Halifax StVentura, CA 93004-2951
Phone 805-766-5837
Mailing address
2150 San Michel Dr E Unit BCosta Mesa, CA 92627-5843
Phone 805-766-5837
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