Fu, Justin A.
Fu, Justin A. is an sole proprietor health care provider with primary practice located at 2101 N Waterman Ave , San Bernardino CA 92404-4836. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fu, Justin A. can be contacted via phone (909) 881-4520.Contact Information
Primary practice address
2101 N Waterman Ave
San Bernardino CA 92404-4836
Phone: (909) 881-4520
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | A96100 | California |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A96100 | California |
Profile Details
NPI number | 1447447818 |
---|---|
LBN Legal business name | Fu, Justin A. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 1st, 2007 |
Last updated | Mar 6th, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447447818 | NPPES |
California | Other | 00A961000 | BLUE SHIELD CA |
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