Individual
HONGYU TENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3626 RUFFIN ROAD, SAN DIEGO, CA 92123-3707
(858) 565-9666
Mailing address
3626 RUFFIN ROAD, SAN DIEGO, CA 92123-1810
(858) 565-9666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036103341
IL
207L00000X
Anesthesiology Physician
C174835
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001620300
BLUECROSSBLUESHIELD OF IL
IL
05
—
036103341 1
—
IL
01
—
364054341
COMMERCIAL INS.GROUP#
IL
Enumeration date
08/20/2006
Last updated
09/30/2024
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