MEDICARE: DR. HELEN FENG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	G85995	CA

General Provider Information

NPI Number	:	1629174149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HELEN FENG MD

Provider Business Mailing Address
First Line	:	2242 CAMDEN AVE
Second Line	:	STE 200
City	:	SAN JOSE
State	:	CA
Zip	:	95124-2029
Country	:	US
Telephone Number	:	408-963-6359
Fax Number	:	408-963-6761

Provider Business Practice Location Address
First Line	:	2242 CAMDEN AVE
Second Line	:	SUITE 203
City	:	SAN JOSE
State	:	CA
Zip	:	95124-2029
Country	:	US
Telephone Number	:	408-963-6359
Fax Number	:	408-963-6761

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	03/07/2023

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