KRISTEN E FONG MFT NPI 1790955516

NPI Information

NPI: 1790955516
Provider Name: KRISTEN E FONG, MFT
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Individual
Address:
1050 NORTHGATE DR
SUITE 12
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 250-0541
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Kristen E Fong, MFT is a preferred provider organization in San Rafael, CA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. Kristen E Fong, MFT NPI is 1790955516. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1050 NORTHGATE DR
SUITE 12
SAN RAFAEL, CA
ZIP 94903-526
Phone: (415) 250-0541

The enumeration date for this NPI number is 3/7/2008 and was last updated on 7/20/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	305R00000X	Preferred Provider Organization		MFC36228	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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