Provider Demographics
NPI:1366513541
Name:WEI, MEIFANG (ACUPUNTURIST, LAC)
Entity type:Individual
Prefix:DR
First Name:MEIFANG
Middle Name:
Last Name:WEI
Suffix:
Gender:F
Credentials:ACUPUNTURIST, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10010 DAUNTLESS ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-5516
Mailing Address - Country:US
Mailing Address - Phone:858-569-0690
Mailing Address - Fax:858-759-8380
Practice Address - Street 1:3860 CONVOY ST
Practice Address - Street 2:SUITE 119
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-3748
Practice Address - Country:US
Practice Address - Phone:858-569-0690
Practice Address - Fax:858-759-8380
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC2173171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA2156912OtherMEDICAL