Provider Demographics
NPI:1295385466
Name:FENG, CHRISTINE ANNA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ANNA
Last Name:FENG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8188 ARROYO DR APT 3
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-8141
Mailing Address - Country:US
Mailing Address - Phone:925-699-8642
Mailing Address - Fax:
Practice Address - Street 1:2000 MOUNTAIN BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-2807
Practice Address - Country:US
Practice Address - Phone:510-339-8535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79946183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist