Fung, David M
Fung, David M is an sole proprietor health care provider with primary practice located at 7300 Medical Center Dr , Canoga Park CA 91307-1902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Fung, David M can be contacted via phone (949) 476-2172.Contact Information
Primary practice address
7300 Medical Center Dr
Canoga Park CA 91307-1902
Phone: (949) 476-2172
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G46964 | California |
Profile Details
| NPI number | 1275502700 |
|---|---|
| LBN Legal business name | Fung, David M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Aug 2nd, 2013 - about 12 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 | 1275502700 | NPPES |
| California | MEDICAID | 00G469641 |
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