Individual
CORY FUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1333 MERIDIAN AVE, SAN JOSE, CA 95125-5212
(408) 445-3400
Mailing address
4208 RICKEYS WAY UNIT K, PALO ALTO, CA 94306-5912
(650) 776-5706
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95019734
CA
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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