Provider Demographics
NPI:1013070499
Name:JENG, ARTHUR (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:JENG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5801 KIYOT WAY
Mailing Address - Street 2:2
Mailing Address - City:PLAYA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:90094-2137
Mailing Address - Country:US
Mailing Address - Phone:310-204-2416
Mailing Address - Fax:310-204-2416
Practice Address - Street 1:14445 OLIVE VIEW DR
Practice Address - Street 2:2B182
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-1437
Practice Address - Country:US
Practice Address - Phone:818-364-3205
Practice Address - Fax:818-364-4573
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAA67816207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA67816OtherMEDICAL LICENSE