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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679928394 NPPES
California MEDICAID 1679928394
California Other CA534046

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