Individual ProviderKelsey L FengNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address200 Medical Plaza, Suite 140, Los Angeles, CA 90095(714) 393-9982PECOS EnrollmentBased on the most recent information from CMS, provider Kelsey L Feng does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1962679621Provider TypeIndividualFull NameFeng, Kelsey LTitleMissCredentialFNPGenderFemaleSole ProprietorYesEnumeration Date5/13/2008Last Updated5/13/2008Contact InformationPractice LocationPractice Address200 Medical Plaza, Suite 140, Los Angeles, CA 90095Phone(714) 393-9982FaxUnlisted FaxMailing LocationMailing Address200 Medical Plaza, Suite 140, Los Angeles, CA 90095PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense18107California