Healthcare Provider Details

I. General information

NPI: 1447541560
Provider Name (Legal Business Name): RICHARD FENG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2011
Last Update Date: 09/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

729 FILBERT ST CHINATOWN MENTAL HEALTH
SAN FRANCISCO CA
94133-2760
US

IV. Provider business mailing address

729 FILBERT ST CHINATOWN MENTAL HEALTH
SAN FRANCISCO CA
94133-2760
US

V. Phone/Fax

Practice location:
  • Phone: 415-352-2000
  • Fax: 415-352-2050
Mailing address:
  • Phone: 415-352-2000
  • Fax: 415-352-2050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA121970
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: