Individual
JASON FREDERICK FUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 WEBSTER ST, #509, OAKLAND, CA 94609
(510) 452-0330
(510) 452-2152
Mailing address
3300 WEBSTER ST, #509, OAKLAND, CA 94609
(510) 452-0330
(510) 452-2152
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A086935
CA
207NS0135X
Procedural Dermatology Physician
A086935
CA
Other
Enumeration date
12/13/2006
Last updated
09/09/2013
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