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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528027471 NPPES
California MEDICAID 00G329720

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