Provider Demographics
NPI:1346601036
Name:CHENG, JARRIN KEAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:JARRIN
Middle Name:KEAN
Last Name:CHENG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4755 TEMPLETON ST APT 2122
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90032-2146
Mailing Address - Country:US
Mailing Address - Phone:808-381-6198
Mailing Address - Fax:
Practice Address - Street 1:4755 TEMPLETON ST APT 2122
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90032-2146
Practice Address - Country:US
Practice Address - Phone:808-381-6198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-09
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA673641835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist