Fang, Samantha Xiaoying

Fang, Samantha Xiaoying is an individual health care provider with primary practice located at 50 Acacia Ave , San Rafael CA 94901-2230. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Fang, Samantha Xiaoying can be contacted via phone (415) 457-4440.

Contact Information

Primary practice address
50 Acacia Ave San Rafael CA 94901-2230
Phone: (415) 457-4440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA64308 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA64308 California

Profile Details

NPI number 1720708365
LBN Legal business name Fang, Samantha Xiaoying
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2022
Last updated Mar 28th, 2024 - about last year

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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