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QUOCK Y. FONG MD INC. NPI 1134242084


NPI Information

NPI: 1134242084
Provider Name: QUOCK Y. FONG, MD, INC.
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
137 LUCCA DR
SOUTH SAN FRANCISCO, CA
ZIP 94080
Phone: (415) 713-3996
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QUOCK Y. FONG, MD, INC. is a geriatric medicine internal medicine in South San Francisco, CA. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. QUOCK Y. FONG, MD, INC. NPI is 1134242084. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

137 LUCCA DR
SOUTH SAN FRANCISCO, CA
ZIP 94080-100
Phone: (415) 713-3996

The provider's authorized official is Quock Ying Fong .
The authorized official title is President and has the following contact phone number (415) 713-3996.

The enumeration date for this NPI number is 4/7/2007 and was last updated on 3/5/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric MedicineG30029CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G300291MEDICAIDCALIFORNIA
200G300290MEDICARE PIN
3A44265MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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