Provider Demographics
NPI:1659494045
Name:CHENG, CHIENHUNG ROCCO (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHIENHUNG
Middle Name:ROCCO
Last Name:CHENG
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:ROCCO
Other - Middle Name:
Other - Last Name:CHENG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:18623 EAST GALE AVE.
Mailing Address - Street 2:
Mailing Address - City:INDUSTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91748
Mailing Address - Country:US
Mailing Address - Phone:626-839-0300
Mailing Address - Fax:626-839-1780
Practice Address - Street 1:18623 EAST GALE AVE.
Practice Address - Street 2:
Practice Address - City:INDUSTRY
Practice Address - State:CA
Practice Address - Zip Code:91748
Practice Address - Country:US
Practice Address - Phone:626-839-0300
Practice Address - Fax:626-839-1780
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 14718103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical