Provider Demographics
NPI:1578221768
Name:FENG, ANGELA TAO-HUI (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:TAO-HUI
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 1:5147 MOUNT HELENA AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-2330
Mailing Address - Country:US
Mailing Address - Phone:510-501-4461
Mailing Address - Fax:
Practice Address - Street 1:5147 MOUNT HELENA AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041-2330
Practice Address - Country:US
Practice Address - Phone:510-501-4461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-04
Last Update Date:2021-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA71519901835C0205X
CA64135183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835C0205XPharmacy Service ProvidersPharmacistCritical Care