Provider Demographics
NPI:1801048657
Name:CHENG, PEILIN ALICE (MD)
Entity type:Individual
Prefix:
First Name:PEILIN
Middle Name:ALICE
Last Name:CHENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 ALCAZAR STREET
Mailing Address - Street 2:CSC #2200, DEPARTMENT OF PSYCHIATRY
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033
Mailing Address - Country:US
Mailing Address - Phone:323-226-4984
Mailing Address - Fax:323-226-5751
Practice Address - Street 1:2250 ALCAZAR STREET
Practice Address - Street 2:CSC #2200, DEPARTMENT OF PSYCHIATRY
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033
Practice Address - Country:US
Practice Address - Phone:323-226-4984
Practice Address - Fax:323-226-5751
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-10
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1054552084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry