| Pau K Fong Md Inc | |
|
3939 J Street Suite #350 Sacramento CA 95819-3671 | |
| (916) 454-5555 | |
| (916) 454-3754 |
| Full Name | Pau K Fong Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3939 J Street, Sacramento, California |
| Authorized Official Name and Position | Pau Kee Fong (PRESIDENT) |
| Authorized Official Contact | 9164545555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pau K Fong Md Inc 3939 J Street Suite #350 Sacramento CA 95819-3671 Ph: (916) 454-5555 | Pau K Fong Md Inc 3939 J Street Suite #350 Sacramento CA 95819-3671 Ph: (916) 454-5555 |
| NPI Number | 1538231972 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 10/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538231972 | NPI | - | NPPES |
| 00G334180 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G33418 (California) | Primary |
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