Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | G83048 | CA |
Y | 208200000X | Surgeon | G83048 | CA |
Y | 208600000X | Surgeon | G83048 | CA |
NPI | 1114981594 |
---|---|
Provider Name | Dr. Sandy Feng |
First Address | San Francisco, CA 94143-0001 |
Second Address | San Francisco, CA 94143-2202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 16/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0G8304800 | (05) | CA |
G07786 | (02) | CA |