Organization
JUON-KIN K. FONG, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUON-KIN KENNETH FONG M.D. (PRESIDENT)
(510) 834-1742
Entity
Organization
Contact information
Practice address
2844 SUMMIT ST, SUITE 103, OAKLAND, CA 94609-3637
(510) 834-1742
(510) 834-5315
Mailing address
2844 SUMMIT ST, SUITE 103, OAKLAND, CA 94609-3637
(510) 834-1742
(510) 834-5315
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G028841
CA
Other
Enumeration date
04/12/2008
Last updated
07/07/2008
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