Individual provider Active NPI

Daniel Yun Eng, LPTA

  • Contractor
  • Rosemead, CA
National Provider Identifier
1407156912
Registry record updated Oct 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
AT 4766 Issued in CA
Practice address
2237 Kays Ave # 1
Rosemead, CA 91770-3417
Phone
(626) 307-1982
Fax
(626) 307-1982
NPI assigned
Oct 31, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X AT 4766 CA Primary

Addresses

Primary practice location

2237 Kays Ave # 1
Rosemead, CA 91770-3417

Mailing address

2237 Kays Ave
Rosemead, CA 91770-3417
Phone (626) 307-1982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AT 4766CAMDContractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288483200000",
    "number": "1407156912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 KAYS AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703417",
            "telephone_number": "626-307-1982",
            "fax_number": "626-307-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 KAYS AVE # 1",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703417",
            "telephone_number": "626-307-1982",
            "fax_number": "626-307-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENG",
        "first_name": "DANIEL",
        "middle_name": "YUN",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-31",
        "last_updated": "2010-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "AT 4766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.