Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 8665TGLC | CA |
NPI | 1013049840 |
---|---|
Provider Name | Dr. Paul Hung-Li Peng |
First Address | Castro Valley, CA 94552-4840 |
Second Address | Castro Valley, CA 94552-4840 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2007 |
Last Update Date | 11/02/2022 |