Fong, John

Fong, John is an sole proprietor health care provider with primary practice located at 1130 Monaco Ct , Stockton CA 95207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Fong, John can be contacted via phone (209) 478-2060.

Contact Information

Primary practice address
1130 Monaco Ct Stockton CA 95207
Fax: (209) 478-3175
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G49494 California

Profile Details

NPI number 1841261054
LBN Legal business name Fong, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2006
Last updated Jan 6th, 2010 - about 16 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 1841261054 NPPES
California MEDICAID 00G494940

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