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Organization
PAU K FONG MD INC
Active
Organization
PAU K FONG MD INC
Active
Parent organization
PAU K FONG MD INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAU K FONG MD INC
Authorized official
DR. PAU KEE FONG MD (PRESIDENT)
(916) 454-5555
Entity
Organization
Contact information
Practice address
3939 J STREET, SUITE #350, SACRAMENTO, CA 95819-3671
(916) 454-5555
(916) 454-3754
Mailing address
3939 J STREET, SUITE #350, SACRAMENTO, CA 95819-3671
(916) 454-5555
(916) 454-3754
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G33418
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G334180
—
CA
Enumeration date
11/14/2006
Last updated
10/23/2007
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