Provider Demographics
NPI:1730281254
Name:FENG, FRANK L (DO)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:L
Last Name:FENG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1833
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93279-1833
Mailing Address - Country:US
Mailing Address - Phone:559-733-7888
Mailing Address - Fax:559-733-2521
Practice Address - Street 1:205 S WEST ST
Practice Address - Street 2:SUITE E
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-6112
Practice Address - Country:US
Practice Address - Phone:559-733-7888
Practice Address - Fax:559-733-2521
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A7700207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
G97721Medicare UPIN
CE686ZMedicare PIN