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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 11 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 1275502700 NPPES
California MEDICAID 00G469641

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