Provider Demographics
NPI:1770785487
Name:YU, FENG (OMD)
Entity type:Individual
Prefix:DR
First Name:FENG
Middle Name:
Last Name:YU
Suffix:
Gender:M
Credentials:OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18410 CORBY AVE
Mailing Address - Street 2:APT.#9
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-5569
Mailing Address - Country:US
Mailing Address - Phone:310-878-7272
Mailing Address - Fax:714-774-1140
Practice Address - Street 1:721 N EUCLID ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-4116
Practice Address - Country:US
Practice Address - Phone:714-774-1001
Practice Address - Fax:714-774-1140
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11309171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist