Individual
DR. KATHY FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
#118 PLAZA PROFESSIONAL BUILDING, EL CERRITO PLAZA, EL CERRITO, CA 94530
(510) 524-0224
(510) 524-0215
Mailing address
400 EVELYN AVE STE 118, ALBANY, CA 94706-1350
(510) 207-9875
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A55110
CA
Other
Enumeration date
01/23/2006
Last updated
09/09/2013
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