Dr Camille Manyan Fung, MD - Pediatrics in Salt Lake City, UT

Dr Camille Manyan Fung, MD is a Pediatrics - Neonatal-perinatal Medicine physician based in Salt Lake City, Utah. Dr Camille Manyan Fung is licensed to practice in California (license number A78222) and her current practice location is 100 N Medical Dr, Salt Lake City, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 581-7052.

NPI number for Dr Camille Manyan Fung is 1689627234 and her current mailing address is 295 Chipeta Way, Peds Admin, Salt Lake City, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689627234.

Contact Information

Dr Camille Manyan Fung, MD
100 N Medical Dr,
Salt Lake City, UT 84113-1103
(801) 581-7052
(801) 585-7395

Map and Direction




Physician's Profile

Full NameDr Camille Manyan Fung
GenderFemale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location100 N Medical Dr, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689627234
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 10/29/2021

Medical Identifiers

Medical identifiers for Dr Camille Manyan Fung such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689627234NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics A78222 (California)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine A78222 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Camille Manyan Fung is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Camille Manyan Fung, MD
295 Chipeta Way, Peds Admin,
Salt Lake City, UT 84108-1220

Ph: (801) 581-7052
Dr Camille Manyan Fung, MD
100 N Medical Dr,
Salt Lake City, UT 84113-1103

Ph: (801) 581-7052

Reviews and Comments


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