Individual
LIT KEUNG FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 OAKDALE RD, SUITE 218, MODESTO, CA 95355-3381
(209) 572-4222
(209) 572-4272
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G59878
CA
Other
Enumeration date
07/21/2005
Last updated
01/28/2009
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