Basic Information
| Provider Information | |||||||||
| NPI: | 1467098186 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALEXANDER FENG MD CORP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 340 S LEMON AVE STE 8522 | ||||||||
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| City: | WALNUT | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917892706 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 455 N GARFIELD AVE FL 2 | ||||||||
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| City: | MONTEREY PARK | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917541201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8334767377 | ||||||||
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| ProviderEnumerationDate: | 11/18/2019 | ||||||||
| LastUpdateDate: | 11/18/2019 | ||||||||
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| AuthorizedOfficialLastName: | FENG | ||||||||
| AuthorizedOfficialFirstName: | ALEXANDER | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT AND CEO | ||||||||
| AuthorizedOfficialTelephone: | 2566830147 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2081P2900X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Pain Medicine |
No ID Information.