Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A51793 | CA |
N | 111NI0900X | Internist | A51793 | CA |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A51793 | CA |
NPI | 1043277601 |
---|---|
Provider Name | Dr. Wei Feng |
First Address | Los Angeles, CA 90051-0185 |
Second Address | South Pasadena, CA 91030-1814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 11/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A517930 | (05) | CA |
F37397 | (02) |