Organization
QUOCK Y. FONG, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUOCK YING FONG M.D. (PRESIDENT)
(415) 713-3996
Entity
Organization
Contact information
Practice address
137 LUCCA DR, SOUTH SAN FRANCISCO, CA 94080-7100
(415) 713-3996
Mailing address
137 LUCCA DR, SOUTH SAN FRANCISCO, CA 94080-7100
(415) 713-3996
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
G30029
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G300291
—
CA
Enumeration date
04/07/2007
Last updated
03/05/2013
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