Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 30087 | CA |
NPI | 1194946897 |
---|---|
Provider Name | Dr. Peter Y Feng |
First Address | Rowland Heights, CA 91748-4965 |
Second Address | Rowland Heights, CA 91748-4965 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 02/10/2007 |