Provider Demographics
NPI:1861400350
Name:FEI, HAILING (MD)
Entity type:Individual
Prefix:
First Name:HAILING
Middle Name:
Last Name:FEI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 BIRCH ST
Mailing Address - Street 2:STE A
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062-1482
Mailing Address - Country:US
Mailing Address - Phone:650-368-2888
Mailing Address - Fax:650-368-2878
Practice Address - Street 1:39 BIRCH ST
Practice Address - Street 2:STE A
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-1482
Practice Address - Country:US
Practice Address - Phone:650-368-2888
Practice Address - Fax:650-368-2878
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA78381207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA2276035Medicaid
H02085Medicare UPIN
CAU0A783810Medicare ID - Type Unspecified