Provider Demographics
NPI:1689098212
Name:GEORGE, XILIN CHENG (PHARM D)
Entity Type:Individual
Prefix:
First Name:XILIN
Middle Name:CHENG
Last Name:GEORGE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 GOLF CLUB WAY
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-1106
Mailing Address - Country:US
Mailing Address - Phone:925-689-9989
Mailing Address - Fax:925-689-9989
Practice Address - Street 1:750 GOLF CLUB WAY
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-1106
Practice Address - Country:US
Practice Address - Phone:925-689-9989
Practice Address - Fax:925-689-9989
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-18
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49282183500000X
NV13519183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV13519OtherREGISTERED PHARMACIST LICENSE
CA49282OtherREGISTERED PHARMACIST LICENSE