Provider Demographics
NPI:1396726741
Name:FEY, PIERRE (DC)
Entity type:Individual
Prefix:
First Name:PIERRE
Middle Name:
Last Name:FEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 AUBURN CT
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-3619
Mailing Address - Country:US
Mailing Address - Phone:805-495-0110
Mailing Address - Fax:805-495-1390
Practice Address - Street 1:128 AUBURN CT
Practice Address - Street 2:SUITE 100
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-3619
Practice Address - Country:US
Practice Address - Phone:805-495-0110
Practice Address - Fax:805-495-1390
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24785111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU67768Medicare UPIN