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Organization
FUNG CHIROPRACTIC
Active
Organization
FUNG CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMOND Y FUNG D.C. (OWNER)
(650) 685-8883
Entity
Organization
Contact information
Practice address
415 N SAN MATEO DR, SUITE 2, SAN MATEO, CA 94401-2494
(650) 685-8883
Mailing address
415 N SAN MATEO DR, SUITE 2, SAN MATEO, CA 94401-2494
(650) 685-8883
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC25236
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0252360
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
10/31/2006
Last updated
08/22/2020
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