Provider Demographics
NPI:1730403551
Name:FENG, CHUNBEI (BM)
Entity type:Individual
Prefix:
First Name:CHUNBEI
Middle Name:
Last Name:FENG
Suffix:
Gender:F
Credentials:BM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:49 SHOWERS DR
Mailing Address - Street 2:APT L474
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-1463
Mailing Address - Country:US
Mailing Address - Phone:650-947-0685
Mailing Address - Fax:
Practice Address - Street 1:248 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95030-6817
Practice Address - Country:US
Practice Address - Phone:650-215-3522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-23
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7076171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist