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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447447818 NPPES
California Other 00A961000 BLUE SHIELD CA

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