Provider Demographics
NPI:1295964815
Name:CHENG, ANGELINA PIK YIN (MD)
Entity type:Individual
Prefix:DR
First Name:ANGELINA
Middle Name:PIK YIN
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 1:1531 REBECCA CRES
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-6947
Mailing Address - Country:US
Mailing Address - Phone:909-793-4928
Mailing Address - Fax:
Practice Address - Street 1:811 E 11TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4871
Practice Address - Country:US
Practice Address - Phone:909-985-0883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-02
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA68795174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist