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Individual

DR. ELLEN B FUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, RD

Contact information

Practice address
5700 MARTIN LUTHER KING JR WAY, HEDCO HEALTH SCIENCE CENTER, OAKLAND, CA 94609-1673
(510) 428-3885
(510) 450-5877
Mailing address
6618 DOVER ST, OAKLAND, CA 94609-1012
(510) 428-3885
(510) 450-5877

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
836890
CA
2471B0102X
Bone Densitometry Radiologic Technologist
Primary
RHP81470
CA

Other

Enumeration date
04/17/2007
Last updated
09/11/2025
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