# JUSTIN A. FU, MD A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1770884389
- **Authorized official:** DR. JUSTIN FU M.D. (CEO)
- **Authorized official phone:** (909) 223-2113

## Contact information

- **Practice address:** 6627 MURRIETTA CT, RANCHO CUCAMONGA, CA 91739-9556
- **Practice address phone:** (909) 223-2113
- **Mailing address:** 6627 MURRIETTA CT, RANCHO CUCAMONGA, CA 91739-9556
- **Mailing address phone:** (909) 223-2113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | A96100 | CA | Yes |

## Other

- **Enumeration date:** 11/12/2010
- **Last updated:** 05/25/2016
