Healthcare Provider Details

I. General information

NPI: 1548859259
Provider Name (Legal Business Name): CATHERINE FENG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2021
Last Update Date: 03/27/2024
Certification Date: 03/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 S MYRTLE AVE
MONROVIA CA
91016-3427
US

IV. Provider business mailing address

3809 MUIRFIELD ST
EL MONTE CA
91732-4328
US

V. Phone/Fax

Practice location:
  • Phone: 626-357-3258
  • Fax: 626-301-0868
Mailing address:
  • Phone: 626-246-8988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number98116
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: