Provider Demographics
NPI:1194946897
Name:FENG, PETER Y (DC, L AC)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:Y
Last Name:FENG
Suffix:
Gender:M
Credentials:DC, L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2538 WINDSOR PL
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-4965
Mailing Address - Country:US
Mailing Address - Phone:626-823-3881
Mailing Address - Fax:
Practice Address - Street 1:2538 WINDSOR PL
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-4965
Practice Address - Country:US
Practice Address - Phone:626-823-3881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30087111NI0013X
CA11417171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner
No171100000XOther Service ProvidersAcupuncturist