Healthcare Provider Details

I. General information

NPI: 1437071206
Provider Name (Legal Business Name): HAOYANG PENG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9353 VALLEY BLVD # C
ROSEMEAD CA
91770-1923
US

IV. Provider business mailing address

427 W 5TH ST APT 1105
LOS ANGELES CA
90013-1180
US

V. Phone/Fax

Practice location:
  • Phone: 626-287-2988
  • Fax:
Mailing address:
  • Phone: 650-924-7176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: