Dong, Samuel
Dong, Samuel is an sole proprietor health care provider with primary practice located at 350 30Th Street Suite 407, Oakland CA 94609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dong, Samuel can be contacted via phone (510) 419-0230.Contact Information
Primary practice address
350 30Th Street Suite 407
Oakland CA 94609
Phone: (510) 419-0230
Fax: (510) 419-0273
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G032972 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G32972 | California |
Profile Details
| NPI number | 1528027471 |
|---|---|
| LBN Legal business name | Dong, Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Feb 26th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528027471 | NPPES |
| California | MEDICAID | 00G329720 |
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