Provider Demographics
NPI:1831511138
Name:GOLDMAN, CHENG-PEI (RPH, MS, CGP)
Entity type:Individual
Prefix:
First Name:CHENG-PEI
Middle Name:
Last Name:GOLDMAN
Suffix:
Gender:F
Credentials:RPH, MS, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13013 CARITA CV
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-6924
Mailing Address - Country:US
Mailing Address - Phone:858-353-7380
Mailing Address - Fax:
Practice Address - Street 1:13013 CARITA CV
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-6924
Practice Address - Country:US
Practice Address - Phone:858-353-7380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-06
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46127183500000X
CA31061835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric
No183500000XPharmacy Service ProvidersPharmacist