Dianna Mung-Fung Mak in Rancho Cucamonga - Family Medicine

Dianna Mung-Fung Mak - NPI 1104936988

Dianna Mung-Fung Mak is a Family Medicine in Rancho Cucamonga, California. Dianna Mung-Fung Mak practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Dianna Mung-Fung Mak is 1104936988. The last update date is 2007-07-08.

Dianna Mung-Fung Mak's current location address is 9089 Baseline Road, Rancho Cucamonga, California. You can contact this provider via phone number 9094830505 and fax number 9094830508. The mailing address for Dianna Mung-Fung Mak is 9089 Baseline Road, Rancho Cucamonga, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Dianna Mung-Fung Mak
Address 9089 Baseline Road, Rancho Cucamonga, California
Phone Number 9094830505
Fax Number 9094830508
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1104936988
Provider Enumeration Date 2006-08-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9089 Baseline Road
City Rancho Cucamonga
State California (CA)
Post Code 91730
Phone Number 9094830505
Fax Number 9094830508

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 20A5237
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00148996 CA RR MEDICARE
00AX52370 CA --

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FAQs about Dianna Mung-Fung Mak

What is the unique 10-digit identifier code assigned to Dianna Mung-Fung Mak by the Centers for Medicare & Medicaid Services?

The Dianna Mung-Fung Mak has been issued the NPI (National Provider Identifier) 1104936988 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Dianna Mung-Fung Mak's physical address?

The Dianna Mung-Fung Mak is physically located at 9089 Baseline Road, in the city of Rancho Cucamonga, CA, with the postal code 91730.

What is the Dianna Mung-Fung Mak's area of specialization and corresponding taxonomy classification?

The Dianna Mung-Fung Mak's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1104936988 to Dianna Mung-Fung Mak?

The Dianna Mung-Fung Mak received its 1104936988 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.

When was the information pertaining to Dianna Mung-Fung Mak most recently updated or revised?

The details related to Dianna Mung-Fung Mak, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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