| Kingman Tung Md | |
|
1620 35th Avenue Ste A Sacramento CA 95822 | |
| (916) 457-3681 | |
| (916) 457-2938 |
| Full Name | Kingman Tung Md |
|---|---|
| Speciality | Family Medicine |
| Location | 1620 35th Avenue, Sacramento, California |
| Authorized Official Name and Position | Kingman Tung (DIRECTOR) |
| Authorized Official Contact | 9164573681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingman Tung Md 1620 35th Avenue Ste A Sacramento CA 95822 Ph: (916) 457-3681 | Kingman Tung Md 1620 35th Avenue Ste A Sacramento CA 95822 Ph: (916) 457-3681 |
| NPI Number | 1649284555 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649284555 | NPI | - | NPPES |
| 00A528330 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A052833 (California) | Primary |
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