Ko Bruce Fang is a Clinical in Elk Grove, California. Ko Bruce Fang practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ko Bruce Fang is 1376664458. The last update date is 2007-07-08.
Ko Bruce Fang's current location address is 9895 Selva Way, Elk Grove, California. You can contact this provider via phone number 9162965089 and fax number 5592290227. The mailing address for Ko Bruce Fang is 9895 Selva Way, Elk Grove, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ko Bruce Fang |
|---|---|
| Address | 9895 Selva Way, Elk Grove, California |
| Phone Number | 9162965089 |
| Fax Number | 5592290227 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1376664458 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9895 Selva Way |
|---|---|
| City | Elk Grove |
| State | California (CA) |
| Post Code | 95757 |
| Phone Number | 9162965089 |
| Fax Number | 5592290227 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY18841 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the Ko Bruce Fang's 1376664458?
The Ko Bruce Fang's NPI (National Provider Identifier) Number is 1376664458. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Ko Bruce Fang is physically located?
The Ko Bruce Fang is physically situated at the following address: 9895 Selva Way, Elk Grove, CA, 95757.
What is Ko Bruce Fang's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ko Bruce Fang's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1376664458 to Ko Bruce Fang?
The Centers for Medicare & Medicaid Services assigned the 1376664458 to Ko Bruce Fang on 2007-04-03.
When was the Ko Bruce Fang's information last updated?
The Ko Bruce Fang's information was last updated on 2007-07-08.