Healthcare Provider Details

I. General information

NPI: 1619191905
Provider Name (Legal Business Name): FEI-ING TZENG L. AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3031 TISCH WAY SUITE 5PW
SAN JOSE CA
95128-2541
US

IV. Provider business mailing address

3031 TISCH WAY SUITE 605
SAN JOSE CA
95128-2541
US

V. Phone/Fax

Practice location:
  • Phone: 408-260-0208
  • Fax:
Mailing address:
  • Phone: 408-260-0208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC11169
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: