Peter C. Fung, M.d., Inc. | |
1208 E Arques Ave Suite 113 Sunnyvale CA 94085-5418 | |
(408) 738-9728 | |
Not Available |
Full Name | Peter C. Fung, M.d., Inc. |
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Speciality | Psychiatry & Neurology |
Location | 1208 E Arques Ave, Sunnyvale, California |
Authorized Official Name and Position | Peter C. Fung (PRESIDENT) |
Authorized Official Contact | 4087389728 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Peter C. Fung, M.d., Inc. 1208 E Arques Ave Ste 113 Sunnyvale CA 94085-5419 Ph: (408) 738-9728 | Peter C. Fung, M.d., Inc. 1208 E Arques Ave Suite 113 Sunnyvale CA 94085-5418 Ph: (408) 738-9728 |
NPI Number | 1356365050 |
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Provider Enumeration Date | 07/26/2006 |
Last Update Date | 08/21/2015 |
Medicare PECOS PAC ID | 5597854307 |
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Medicare Enrollment ID | O20071201000203 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356365050 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | A30723 (California) | Primary |
Provider Name | Peter C Fung |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1962449538 PECOS PAC ID: 9830102201 Enrollment ID: I20060801000443 |
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