Organization
JASON F FUNG, MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON F FUNG MD (INCORPORATOR)
(510) 452-0330
Entity
Organization
Contact information
Practice address
3300 WEBSTER ST STE 509, OAKLAND, CA 94609-3149
(510) 452-0330
(510) 452-2152
Mailing address
3300 WEBSTER ST STE 509, OAKLAND, CA 94609-3149
(510) 452-0330
(510) 452-2152
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A86935
CA
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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