Provider Demographics
NPI:1043703036
Name:CHENG, FENG (LAC)
Entity type:Individual
Prefix:MR
First Name:FENG
Middle Name:
Last Name:CHENG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7461 ASPEN CT
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-4810
Mailing Address - Country:US
Mailing Address - Phone:925-384-3721
Mailing Address - Fax:
Practice Address - Street 1:3550 BERNAL AVE # 150
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-6858
Practice Address - Country:US
Practice Address - Phone:925-660-5535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-13
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC17790171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist