Healthcare Provider Details

I. General information

NPI: 1841120631
Provider Name (Legal Business Name): FEI HONG RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9110 HUNTINGTON DR APT F
SAN GABRIEL CA
91775-1369
US

IV. Provider business mailing address

9110 HUNTINGTON DR APT F
SAN GABRIEL CA
91775-1369
US

V. Phone/Fax

Practice location:
  • Phone: 626-929-0412
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM1400X
TaxonomyNurse Massage Therapist (NMT)
License Number95373097
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: