Healthcare Provider Details

I. General information

NPI: 1720925274
Provider Name (Legal Business Name): CHENGWEI KE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 MEEK AVE UNIT A
HAYWARD CA
94541-6345
US

IV. Provider business mailing address

250 MEEK AVE UNIT A
HAYWARD CA
94541-6345
US

V. Phone/Fax

Practice location:
  • Phone: 650-660-4684
  • Fax:
Mailing address:
  • Phone: 650-660-4684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number100642
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: