Chan, Jack Fong

Chan, Jack Fong is an sole proprietor health care provider with primary practice located at 12212 Scully Ave , Saratoga CA 95070-3339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Chan, Jack Fong can be contacted via phone (408) 921-3303.

Contact Information

Primary practice address
12212 Scully Ave Saratoga CA 95070-3339
Phone: (408) 921-3303
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G21437 California

Profile Details

NPI number 1447770136
LBN Legal business name Chan, Jack Fong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2017
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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