Provider Demographics
NPI:1881685295
Name:CHENG, RODRIGO AVELLANA JR (NP)
Entity Type:Individual
Prefix:MR
First Name:RODRIGO
Middle Name:AVELLANA
Last Name:CHENG
Suffix:JR
Gender:M
Credentials:NP
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Mailing Address - Street 1:BLDG H-100, SANTA MARGARITA ROAD
Mailing Address - Street 2:NAVAL HOSPITAL
Mailing Address - City:CAMP PENDLETON
Mailing Address - State:CA
Mailing Address - Zip Code:92055
Mailing Address - Country:US
Mailing Address - Phone:760-725-1213
Mailing Address - Fax:760-725-1303
Practice Address - Street 1:BLDG H-100, SANTA MARGARITA ROAD
Practice Address - Street 2:NAVAL HOSPITAL
Practice Address - City:CAMP PENDLETON
Practice Address - State:CA
Practice Address - Zip Code:92055
Practice Address - Country:US
Practice Address - Phone:760-725-1213
Practice Address - Fax:760-725-1303
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2012-10-19
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Provider Licenses
StateLicense IDTaxonomies
CARN481187 NP 11428363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily