Mei Po Kung M.d. Inc. | |
237 Estudillo Ave Suite 203 San Leandro CA 94577-4725 | |
(510) 315-7196 | |
(510) 315-8715 |
Full Name | Mei Po Kung M.d. Inc. |
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Speciality | Internal Medicine |
Location | 237 Estudillo Ave, San Leandro, California |
Authorized Official Name and Position | Mei Po Kung (PRESIDENT) |
Authorized Official Contact | 5103157196 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mei Po Kung M.d. Inc. 237 Estudillo Ave Ste 203 San Leandro CA 94577-4723 Ph: (510) 315-7196 | Mei Po Kung M.d. Inc. 237 Estudillo Ave Suite 203 San Leandro CA 94577-4725 Ph: (510) 315-7196 |
NPI Number | 1871697219 |
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Provider Enumeration Date | 09/07/2006 |
Last Update Date | 05/08/2015 |
Medicare PECOS PAC ID | 7517985864 |
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Medicare Enrollment ID | O20051116001004 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871697219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A74051 (California) | Primary |
Provider Name | Mei Po Kung |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407939465 PECOS PAC ID: 8224057419 Enrollment ID: I20051117000225 |
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