Provider Demographics
NPI:1497034904
Name:LEI, WENG HONG
Entity Type:Individual
Prefix:MR
First Name:WENG HONG
Middle Name:
Last Name:LEI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:IVAN
Other - Middle Name:
Other - Last Name:LEI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10901 MACARTHUR BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-5200
Mailing Address - Country:US
Mailing Address - Phone:510-430-1115
Mailing Address - Fax:
Practice Address - Street 1:10901 MACARTHUR BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-5200
Practice Address - Country:US
Practice Address - Phone:510-430-1115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-15
Last Update Date:2013-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral