Provider Demographics
NPI:1255543294
Name:TENG, HONG DAR (LAC)
Entity type:Individual
Prefix:MR
First Name:HONG DAR
Middle Name:
Last Name:TENG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28310 INDUSTRIAL BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-4436
Mailing Address - Country:US
Mailing Address - Phone:510-396-7892
Mailing Address - Fax:510-783-5667
Practice Address - Street 1:28310 INDUSTRIAL BLVD STE C
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-4436
Practice Address - Country:US
Practice Address - Phone:510-396-7892
Practice Address - Fax:510-783-5667
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8331171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist