Provider Demographics
NPI:1912259946
Name:TENG, CHUNWEN (DO)
Entity Type:Individual
Prefix:DR
First Name:CHUNWEN
Middle Name:
Last Name:TENG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 STERLING PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-7323
Mailing Address - Country:US
Mailing Address - Phone:215-880-1462
Mailing Address - Fax:
Practice Address - Street 1:831 STERLING PKWY STE 110
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:CA
Practice Address - Zip Code:95648-7323
Practice Address - Country:US
Practice Address - Phone:916-253-9898
Practice Address - Fax:916-209-3139
Is Sole Proprietor?:No
Enumeration Date:2012-10-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKN.A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK5448OtherOKLAHOMA STATE LICENSE NUMBER
CA20A13648OtherOSTEOPATHIC MEDICAL BOARD OF CALIFORNIA
CA20A13648OtherOSTEOPATHIC MEDICAL BOARD OF CALIFORNIA