Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
KAREN ANN FONG MD
Active
Organization
KAREN ANN FONG MD
Active
Other names
Asante Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN ANN FONG MD (OWNER)
(805) 242-4455
Entity
Organization
Contact information
Practice address
1551 BISHOP ST, SUITE 310, SAN LUIS OBISPO, CA 93401-4635
(805) 242-4455
(805) 547-1395
Mailing address
1241 JOHNSON AVE, #322, SAN LUIS OBISPO, CA 93401-3306
(805) 242-4455
(805) 547-1395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G70251
CA
208000000X
Pediatrics Physician
G70251
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G70251
CA MD LICENSE
CA
Enumeration date
10/25/2012
Last updated
03/06/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up