Provider Demographics
NPI:1518025121
Name:TAW, EUGENE YU CHENG (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:YU CHENG
Last Name:TAW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:101 E BEVERLY BL
Mailing Address - Street 2:#203
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-4315
Mailing Address - Country:US
Mailing Address - Phone:323-728-7238
Mailing Address - Fax:323-728-6343
Practice Address - Street 1:101 E BEVERLY BL
Practice Address - Street 2:#203
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-4315
Practice Address - Country:US
Practice Address - Phone:323-728-7238
Practice Address - Fax:323-728-6343
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA30209207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAT7945720OtherDEA
CAAT7945720OtherDEA
A84062Medicare UPIN