Provider Demographics
NPI:1689260093
Name:CHEAH, MING KHAI (RPH)
Entity Type:Individual
Prefix:
First Name:MING KHAI
Middle Name:
Last Name:CHEAH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 N MARGUERITA AVE APT F
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-2150
Mailing Address - Country:US
Mailing Address - Phone:626-592-6083
Mailing Address - Fax:
Practice Address - Street 1:11245 LOWER AZUSA RD STE B
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-1553
Practice Address - Country:US
Practice Address - Phone:626-542-3374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-19
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH82762183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist