Provider Demographics
NPI:1346009552
Name:ALEX CHEAH, MD PC
Entity type:Organization
Organization Name:ALEX CHEAH, MD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:CHEAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-981-8985
Mailing Address - Street 1:1308 E COLORADO BLVD UNIT 3360
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-1932
Mailing Address - Country:US
Mailing Address - Phone:626-329-1058
Mailing Address - Fax:
Practice Address - Street 1:1330 SAN BERNARDINO RD STE C
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4980
Practice Address - Country:US
Practice Address - Phone:909-981-8985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty