Feng, Waldo C.

Feng, Waldo C. is an sole proprietor health care provider with primary practice located at 3131 La Canada St Ste 205 , Las Vegas NV 89169-2578. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Feng, Waldo C. can be contacted via phone (702) 916-1996.

Contact Information

Primary practice address
3131 La Canada St Ste 205 Las Vegas NV 89169-2578
Phone: (702) 916-1996
Fax: (702) 916-1997
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 10623 Nevada
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X NV10623 Nevada

Profile Details

NPI number 1639169774
LBN Legal business name Feng, Waldo C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2005
Last updated Mar 17th, 2018 - about 6 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 1639169774 NPPES
Nevada MEDICAID 100500681

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