Sophia Cheng Jr.
Licensed Vocational Nurse in San Jose, CA. Individual provider (NPI-1).
NPI number1669915948
StatusActive
Last updated in NPPESOct 27, 2021
Details
- NPI
- 1669915948
- Entity type
- Individual (NPI-1)
- Name
- Sophia Cheng Jr.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 18, 2016
- Certification date
- Oct 27, 2021
- Last updated
- Oct 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | vn209795 | CA | Yes |
| 106S00000X | Behavior Technician | – | CA | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
1340 Tully RdSan Jose, CA 95122-3055
Phone 408-271-3900
Mailing address
7221 Via VicoSan Jose, CA 95129
Phone 408-401-6976
Other practice locations
2400 Moorpark Ave
San Jose, CA 95128
San Jose, CA 95128
Phone 408-975-2730 · Fax 408-975-2745
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