| Quock Y. Fong, Md, Inc. | |
|
137 Lucca Dr South San Francisco CA 94080-7100 | |
| (415) 713-3996 | |
| Not Available |
| Full Name | Quock Y. Fong, Md, Inc. |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 137 Lucca Dr, South San Francisco, California |
| Authorized Official Name and Position | Quock Ying Fong (PRESIDENT) |
| Authorized Official Contact | 4157133996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quock Y. Fong, Md, Inc. 137 Lucca Dr South San Francisco CA 94080-7100 Ph: (415) 713-3996 | Quock Y. Fong, Md, Inc. 137 Lucca Dr South San Francisco CA 94080-7100 Ph: (415) 713-3996 |
| NPI Number | 1134242084 |
|---|---|
| Provider Enumeration Date | 04/07/2007 |
| Last Update Date | 03/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134242084 | NPI | - | NPPES |
| 00G300291 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | G30029 (California) | Primary |
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