| Gregory Fung Md Inc | |
|
789 Vallejo Street San Francisco CA 94133-3834 | |
| (415) 982-6691 | |
| (415) 982-0914 |
| Full Name | Gregory Fung Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 789 Vallejo Street, San Francisco, California |
| Authorized Official Name and Position | Gregory Fung (PRESIDENT) |
| Authorized Official Contact | 4159826691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Fung Md Inc 789 Vallejo Street San Francisco CA 94133-3834 Ph: (415) 982-6691 | Gregory Fung Md Inc 789 Vallejo Street San Francisco CA 94133-3834 Ph: (415) 982-6691 |
| NPI Number | 1275673790 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 06/23/2014 |
| Medicare PECOS PAC ID | 5890910251 |
|---|---|
| Medicare Enrollment ID | O20140627001791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275673790 | NPI | - | NPPES |
| 00G417090 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | G41709 (California) | Primary |
| Provider Name | Gregory Fung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700970795 PECOS PAC ID: 5799846168 Enrollment ID: I20081203000520 |
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