Fong, Karen Ann

Fong, Karen Ann is an sole proprietor health care provider with primary practice located at 184 Casa St , San Luis Obispo CA 93405-1804. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Fong, Karen Ann can be contacted via phone (805) 242-4455.

Contact Information

Primary practice address
184 Casa St San Luis Obispo CA 93405-1804
Phone: (805) 242-4455
Fax: (805) 542-9589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G70251 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G070251 California

Profile Details

NPI number 1851396816
LBN Legal business name Fong, Karen Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Nov 22nd, 2019 - about 6 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 1851396816 NPPES
California Other G70251 B;UE CROSS
California Other 00G702510 B;UE CROSS

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