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1790122638
JIM CHENG
TUSTIN, CA
NPI
1790122638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: CA PA22852)
Enumeration Date
2013-06-02
Last Update Date
2023-06-06
Business Address
JIM CHENG
661 W 1ST ST STE G
TUSTIN, CA 92780-2939
Phone number: 714-665-9890
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Mailing Address
JIM CHENG
25226 CABOT RD
LAGUNA HILLS, CA 92653-5504
Phone number:
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