Individual
PETER K FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 S 1ST ST, ALHAMBRA, CA 91801-3700
(626) 281-8663
(626) 281-6318
Mailing address
235 E BADILLO ST, COVINA, CA 91723-2116
(626) 915-4700
(626) 214-7815
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G53944
CA
207RI0011X
Interventional Cardiology Physician
Primary
G53944
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G539440
—
CA
01
—
109922
ABIM INTERVENTIONAL CARDIOLOGY
CA
Enumeration date
07/14/2006
Last updated
09/13/2024
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