Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | A154703 | CA |
N | 2081P2900X | Pain Medicine | MD458831 | PA |
NPI | 1225477557 |
---|---|
Provider Name | Alexander Feng |
First Address | Monterey Park, CA 91754-1201 |
Second Address | Monterey Park, CA 91754-1201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2013 |
Last Update Date | 04/07/2021 |