Provider Demographics
NPI:1922010073
Name:FENG, CHU-PEI (MD)
Entity Type:Individual
Prefix:DR
First Name:CHU-PEI
Middle Name:
Last Name:FENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 A NORTH TUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705
Mailing Address - Country:US
Mailing Address - Phone:714-835-8520
Mailing Address - Fax:714-835-3610
Practice Address - Street 1:1100-A N. TUSTIN AVE
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3509
Practice Address - Country:US
Practice Address - Phone:714-835-8520
Practice Address - Fax:714-835-3610
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA662042085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A66204OtherOTHER
CA00A662040Medicaid
CAA66204OtherMEDICAL LICENSE
CAA66204OtherMEDICAL LICENSE
WA66204EMedicare ID - Type Unspecified
BF6041874OtherDEA