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JUON-KIN K. FONG M.D. INC NPI 1528231347


NPI Information

NPI: 1528231347
Provider Name: JUON-KIN K. FONG, M.D., INC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
2844 SUMMIT ST
SUITE 103
OAKLAND, CA
ZIP 94609
Phone: (510) 834-1742
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JUON-KIN K. FONG, M.D., INC is a medical specialty clinic center in Oakland, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). JUON-KIN K. FONG, M.D., INC NPI is 1528231347. The provider is registered as an organization entity type.

The provider's business location address is:

2844 SUMMIT ST
SUITE 103
OAKLAND, CA
ZIP 94609-637
Phone: (510) 834-1742
Fax: (510) 834-5315

The provider's authorized official is Juon-kin Kenneth Fong .
The authorized official title is President and has the following contact phone number (510) 834-1742.

The enumeration date for this NPI number is 4/12/2008 and was last updated on 7/7/2008.


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
1261QM2500XClinic/CenterMedical SpecialtyG028841CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F09640MEDICARE UPINCALIFORNIA
200G28841MEDICARE PINCALIFORNIA

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: 5/5/2024

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