Individual
FREDERICK Y FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 FIR ST, SAN DIEGO, CA 92101-2327
(619) 446-1510
(619) 446-1514
Mailing address
300 FIR ST, SAN DIEGO, CA 92101-2327
(619) 446-1510
(619) 446-1514
Taxonomy
Speciality
Code
Description
License number
State
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
A40644
CA
2083X0100X
Occupational Medicine Physician
Primary
A40644
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A406440
—
CA
Enumeration date
08/09/2006
Last updated
06/19/2013
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