Provider Demographics
NPI:1912986621
Name:JI, CHENG (MD)
Entity Type:Individual
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First Name:CHENG
Middle Name:
Last Name:JI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4860 Y ST
Mailing Address - Street 2:SUITE 3100 ACC
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2307
Mailing Address - Country:US
Mailing Address - Phone:916-734-3606
Mailing Address - Fax:916-734-8490
Practice Address - Street 1:4860 Y ST
Practice Address - Street 2:SUITE 3100 ACC
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2307
Practice Address - Country:US
Practice Address - Phone:916-734-3606
Practice Address - Fax:916-734-8490
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2022-01-25
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Provider Licenses
StateLicense IDTaxonomies
CAA727532085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology