Fong, Edward
Fong, Edward is an individual health care provider with primary practice located at 747 52Nd St Suite 5409, Oakland CA 94609-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Fong, Edward can be contacted via phone (510) 428-3305.Contact Information
Primary practice address
747 52Nd St Suite 5409
Oakland CA 94609-1809
Phone: (510) 428-3305
Fax: (510) 597-7154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | A87813 | California |
Profile Details
| NPI number | 1124133574 |
|---|---|
| LBN Legal business name | Fong, Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124133574 | NPPES |
| California | MEDICAID | 00A878130 | |
| California | MEDICAID | 100508836 |
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