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MR. MARC WREN FONG GROUP LLC CRNA NPI 1679929525


NPI Information

NPI: 1679929525
Provider Name: MR. MARC WREN FONG GROUP LLC, CRNA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Organization: INLAND EMPIRE ANESTHESIA MEDICAL GROUP, INC Address:
400 N PEPPER AVE
COLTON, CA
ZIP 92324
Phone: (909) 573-6127
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MR. Marc Wren Fong Group Llc, CRNA is a nurse anesthetist certified registered in Colton, CA with 8 years of experience. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. MR. Marc Wren Fong Group Llc, CRNA NPI is 1679929525. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

400 N PEPPER AVE
COLTON, CA
ZIP 92324-801
Phone: (909) 573-6127

The enumeration date for this NPI number is 5/10/2016 and was last updated on 1/13/2021.


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
1163WC0200XRegistered NurseCritical Care Medicine759678CALIFORNIANo
2367500000XNurse Anesthetist, Certified Registered95000533CALIFORNIAYes

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: 11/14/2023

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