Fung, Edmond
Fung, Edmond is an sole proprietor health care provider with primary practice located at 415 N San Mateo Dr , San Mateo CA 94401-2493. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fung, Edmond can be contacted via phone (650) 685-8883.Contact Information
Primary practice address
415 N San Mateo Dr
San Mateo CA 94401-2493
Phone: (650) 685-8883
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC25236 | California |
Profile Details
| NPI number | 1972777696 |
|---|---|
| LBN Legal business name | Fung, Edmond |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2008 |
| Last updated | Apr 14th, 2008 - about 18 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 | 1972777696 | NPPES |
| California | Other | DC0252360 | BLUE SHIELD |
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