Provider Demographics
NPI:1831314673
Name:CHENG, ESTHER (AC)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:CHENG
Suffix:
Gender:F
Credentials:AC
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:
Other - Last Name:CHENG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AC
Mailing Address - Street 1:1109 MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-2905
Mailing Address - Country:US
Mailing Address - Phone:213-713-0534
Mailing Address - Fax:
Practice Address - Street 1:1109 MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-2905
Practice Address - Country:US
Practice Address - Phone:213-713-0534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1477171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC 1477OtherACUPUNCTURE