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FUNG CHIROPRACTIC NPI 1619053634


NPI Information

NPI: 1619053634
Provider Name: FUNG CHIROPRACTIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
415 N SAN MATEO DR
SUITE 2
SAN MATEO, CA
ZIP 94401
Phone: (650) 685-8883
Get Directions

FUNG CHIROPRACTIC is a chiropractor in San Mateo, CA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. FUNG CHIROPRACTIC NPI is 1619053634. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

415 N SAN MATEO DR
SUITE 2
SAN MATEO, CA
ZIP 94401-494
Phone: (650) 685-8883

The provider's authorized official is Edmond Y Fung .
The authorized official title is Owner and has the following contact phone number (650) 685-8883.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 8/22/2020.


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
1111N00000XChiropractorDC25236CALIFORNIAYes

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
1DC0252360OTHERCALIFORNIABLUE SHIELD OF CALIFORNIA

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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