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Contact Information

FREDERICK Y FUNG, MD
300 FIR ST
SAN DIEGO, CA92101-2327
 Phone: 619-446-1510
 Fax: 619-446-1514
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
 

Medical Toxicology

2083T0002X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for FREDERICK Y FUNG · (Male)

NPI # 1033129127
Status Active
Credentials MD
Entity Individual
Enumeration date 08/09/2006
Last updated 06/19/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A40644
  • CA Medicaid 00A406440
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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