Fong, Andrew
Fong, Andrew is an individual health care provider with primary practice located at 1800 N California St , Stockton CA 95204-6019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Fong, Andrew can be contacted via phone (209) 943-2000.Contact Information
Primary practice address
1800 N California St
Stockton CA 95204-6019
Phone: (209) 943-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | A149653 | California |
Profile Details
| NPI number | 1679928394 |
|---|---|
| LBN Legal business name | Fong, Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2016 |
| Last updated | Apr 3rd, 2024 - about 7 months 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 | 1679928394 | NPPES |
| California | MEDICAID | 1679928394 | |
| California | Other | CA534046 |
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