Provider Demographics
NPI:1679229744
Name:CHENG, SHAO-YING CLAIRE
Entity Type:Individual
Prefix:
First Name:SHAO-YING
Middle Name:CLAIRE
Last Name:CHENG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1133 GOLDEN RAIN RD APT 2
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94595-2439
Mailing Address - Country:US
Mailing Address - Phone:510-358-1510
Mailing Address - Fax:
Practice Address - Street 1:1840 SAN MIGUEL DR STE 203
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-4912
Practice Address - Country:US
Practice Address - Phone:510-358-1510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-26
Last Update Date:2022-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC19210171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist