Peng, Tracy J.

Peng, Tracy J. is an individual health care provider with primary practice located at 1545 Divisadero St, 4Th Floor , San Francisco CA 94143. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Peng, Tracy J. can be contacted via phone (415) 322-8130.

Contact Information

Primary practice address
1545 Divisadero St, 4Th Floor San Francisco CA 94143
Phone: (415) 322-8130
Fax: (415) 353-7358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A77250 California

Profile Details

NPI number 1831148162
LBN Legal business name Peng, Tracy J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Aug 4th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831148162 NPPES
California MEDICAID 00A772500

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