# KAISER GROUP OF MEDICAL CLINICS & RESIDENTIAL FACILITIES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003124975
- **Authorized official:** DR. JOHNNY YEE FONG M.D. (PRESIDENT)
- **Authorized official phone:** (670) 234-8005

## Contact information

- **Practice address:** NAURU LOOP ST, MARIANAS BUSINESS PLAZA, 4TH FLOOR, RM 402, SAIPAN, MP 96950-3570
- **Practice address phone:** (670) 234-8005
- **Practice address fax:** (670) 234-8028
- **Mailing address:** MARIANAS BUSINESS PLAZA BUILDING ROOM 402, NAURU LOOP ST., P.O. BOX 503570, SAIPAN, MP 96950-3570
- **Mailing address phone:** (670) 234-8005
- **Mailing address fax:** (670) 234-8028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 17362-0002-1 | MP | Yes |

## Other

- **Enumeration date:** 09/14/2010
- **Last updated:** 09/14/2010
