Provider Demographics
NPI:1205902160
Name:CHENG CHIEN, BONNIE KA WAI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:KA WAI
Last Name:CHENG CHIEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KA WAI BONNIE
Other - Middle Name:
Other - Last Name:CHENG CHIEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12254 BELLFLOWER BLVD
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-2804
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12254 BELLFLOWER BLVD
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-2804
Practice Address - Country:US
Practice Address - Phone:562-657-4530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2012-08-02
Deactivation Date:2010-09-16
Deactivation Code:
Reactivation Date:2012-07-25
Provider Licenses
StateLicense IDTaxonomies
CARPH 49696183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist