Provider Demographics
NPI:1285694349
Name:DU, PINGFENG (MD)
Entity type:Individual
Prefix:DR
First Name:PINGFENG
Middle Name:
Last Name:DU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3525 DEL MAR HEIGHTS RD
Mailing Address - Street 2:#768
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2199
Mailing Address - Country:US
Mailing Address - Phone:760-230-6660
Mailing Address - Fax:760-230-6626
Practice Address - Street 1:345 SAXONY RD
Practice Address - Street 2:SUITE 202
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2787
Practice Address - Country:US
Practice Address - Phone:760-230-6660
Practice Address - Fax:760-230-6626
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2013-09-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA051796207RC0000X
CAA95673207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A956730Medicaid
CAHM249AMedicare PIN
CA00A956730Medicaid