Kristen E Fong in San Rafael - Preferred Provider Organization
Kristen E Fong - NPI 1790955516
Kristen E Fong is a Preferred Provider Organization in San Rafael, California. Kristen E Fong practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Kristen E Fong is 1790955516. The last update date is 2015-07-20.
Kristen E Fong's current location address is 1050 Northgate Dr, San Rafael, California. You can contact this provider via phone number 4152500541. The mailing address for Kristen E Fong is 1050 Northgate Dr, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristen E Fong |
|---|---|
| Address | 1050 Northgate Dr, San Rafael, California |
| Phone Number | 4152500541 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1790955516 |
|---|---|
| Provider Enumeration Date | 2008-03-07 |
| Last Updated Date | 2015-07-20 |
Provider Mailing Address Detail
| Address | 1050 Northgate Dr |
|---|---|
| City | San Rafael |
| State | California (CA) |
| Post Code | 949032526 |
| Phone Number | 4152500541 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
| Licence No | MFC36228 |
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Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
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What is the unique 10-digit identifier code issued to Kristen E Fong by the Centers for Medicare & Medicaid Services?
The Kristen E Fong has been assigned the NPI (National Provider Identifier) 1790955516 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Kristen E Fong is located?
The Kristen E Fong is situated at the following address: 1050 Northgate Dr, San Rafael, CA, 949032526.
What is Kristen E Fong's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kristen E Fong is Preferred Provider Organization, and the taxonomy code that classifies this field of practice is 305R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790955516 to Kristen E Fong?
The Centers for Medicare & Medicaid Services originally issued the 1790955516 to Kristen E Fong on 2008-03-07.
As of what date were the Kristen E Fong's details last updated?
The information pertaining to the Kristen E Fong, including its address, specialty, and other details, was most recently updated on 2015-07-20.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH