Provider Demographics
NPI:1659909471
Name:CHENG, CHU-YU (MD, MS)
Entity type:Individual
Prefix:
First Name:CHU-YU
Middle Name:
Last Name:CHENG
Suffix:
Gender:F
Credentials:MD, MS
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Other - Last Name:
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Mailing Address - Street 1:163 N MAIN ST APT 318
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-4364
Mailing Address - Country:US
Mailing Address - Phone:510-504-5900
Mailing Address - Fax:
Practice Address - Street 1:222 N PACIFIC COAST HWY STE 1420
Practice Address - Street 2:
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245-5648
Practice Address - Country:US
Practice Address - Phone:877-878-3289
Practice Address - Fax:877-817-3227
Is Sole Proprietor?:No
Enumeration Date:2020-03-28
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA190283208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery