Fong, Lynette

Fong, Lynette is an individual health care provider with primary practice located at 1820 41St Ave Ste D , Capitola CA 95010-2516. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fong, Lynette can be contacted via phone (831) 476-3000.

Contact Information

Primary practice address
1820 41St Ave Ste D Capitola CA 95010-2516
Phone: (831) 476-3000
Fax: (831) 476-9009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G75170 California

Profile Details

NPI number 1730282716
LBN Legal business name Fong, Lynette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Jul 8th, 2007 - about 17 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 1730282716 NPPES
California Other 00G75170 MEDI-CAL ID NUMBER

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