DR. STANFORD LEE-YU PENG MD PHD FACP NPI 1174568489

NPI Information

NPI: 1174568489
Provider Name: DR. STANFORD LEE-YU PENG, MD, PHD, FACP
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

PECOS Registration: Yes

Address:
188 E BLAINE ST STE 200
SEATTLE, WA
ZIP 98102
Phone: (206) 785-4545
Get Directions

DR. Stanford Lee-yu Peng, MD, PHD, FACP is a rheumatology internal medicine in Seattle, WA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DR. Stanford Lee-yu Peng, MD, PHD, FACP NPI is 1174568489. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

188 E BLAINE ST STE 200
SEATTLE, WA
ZIP 98102-983
Phone: (206) 785-4545

The NPI 1174568489 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 2/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		MD60063017	WASHINGTON	No
2	207R00000X	Internal Medicine		A92894	CALIFORNIA	No
3	207RR0500X	Internal Medicine	Rheumatology	A92894	CALIFORNIA	No
4	207RR0500X	Internal Medicine	Rheumatology	MD60063017	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00A928940	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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