Healthcare Provider Details

I. General information

NPI: 1558166397
Provider Name (Legal Business Name): FENG RE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 02/17/2025
Certification Date: 02/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2209 IRVING ST # 202 APPOINTMENT ONLY
SAN FRANCISCO CA
94122-1618
US

IV. Provider business mailing address

2209 IRVING ST # 202
SAN FRANCISCO CA
94122-1618
US

V. Phone/Fax

Practice location:
  • Phone: 415-310-4195
  • Fax:
Mailing address:
  • Phone: 415-310-4195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: KARENA APPLE FENG
Title or Position: PRESIDENT
Credential:
Phone: 415-310-4195