Provider Demographics
NPI:1013145390
Name:HE, FEI (LAC)
Entity type:Individual
Prefix:MS
First Name:FEI
Middle Name:
Last Name:HE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MS
Other - First Name:FEI
Other - Middle Name:
Other - Last Name:HE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:1 S FAIR OAKS AVE
Mailing Address - Street 2:#205
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-1945
Mailing Address - Country:US
Mailing Address - Phone:626-318-9174
Mailing Address - Fax:626-356-1888
Practice Address - Street 1:1 S FAIR OAKS AVE
Practice Address - Street 2:#205
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-1945
Practice Address - Country:US
Practice Address - Phone:626-318-9174
Practice Address - Fax:626-356-1888
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-25
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8215171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist