Edward Fong, MD | |
747 52nd St, Suite 5409, Oakland, CA 94609-1809 | |
(510) 428-3305 | |
(510) 597-7154 |
Full Name | Edward Fong |
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Gender | Male |
Speciality | Pediatrics - Pediatric Pulmonology |
Location | 747 52nd St, Oakland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124133574 | NPI | - | NPPES |
00A878130 | Medicaid | CA | |
100508836 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0214X | Pediatrics - Pediatric Pulmonology | A87813 (California) | Primary |
Entity Name | Hawaii Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710945969 PECOS PAC ID: 7618880667 Enrollment ID: O20031106000625 |
Entity Name | Kapiolani Medical Specialists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124071014 PECOS PAC ID: 0648183988 Enrollment ID: O20031111000895 |
Entity Name | Kapiolani Medical Center For Women & Children |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548215692 PECOS PAC ID: 9830097914 Enrollment ID: O20031229000149 |
Mailing Address | Practice Location Address |
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Edward Fong, MD 747 52nd St, Suite 5409, Oakland, CA 94609-1809 Ph: (510) 428-3305 | Edward Fong, MD 747 52nd St, Suite 5409, Oakland, CA 94609-1809 Ph: (510) 428-3305 |
Mrs. Natalie Plotkin, MS, ACPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3484 | |
Rebecca Romanov, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3331 Fax: 510-428-3331 | |
Dr. Theodore John Chaconas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3237 Fax: 510-601-3979 | |
Dr. Robert E Mines Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5715 Market St, Oakland, CA 94608 Phone: 510-652-5161 Fax: 510-652-4225 | |
Spencer L Magargal, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3000 | |
Dr. Arathi Lakhole, M.D, M.P.H Pediatrics Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3058 | |
Kristen Lum, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3000 |