DR. ALBERT J FONG


Address: 11 Jennifer Ln, Novato, CA 94947-3804
Phone: 4158970383

DR. ALBERT J FONG (NPI# 1134432768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134432768
Entity Type Individual
Full Name DR. ALBERT J FONG
Credential M.D.
Practice Address 11 Jennifer Ln
Novato
CA 94947-3804
Practice Telephone 4158970383
Practice Fax Number 4158980393
Mailing Telephone 4158970383
Mailing Fax Number 4158980393
Enumeration Date 2010-07-25
Last Update Date 2010-07-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice AFE18355 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 11 JENNIFER LN
City NOVATO
State CA
Zip Code 94947-3804

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407135882 Rainey Sealey Temkin Psychologist 1682 Novato Blvd Ste 105, Novato, CA 94947 2011-08-16
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1659681377 Karen Ann Murphy Occupational Therapist 27 Stasia Dr., Novato, CA 94947 2010-10-15
1154659415 Christopher Michael Hackett Chiropractor 1559 South Novato Blvd., Suite E, Novato, CA 94947 2009-11-25
1003068305 Suttinee Saguandeekul Pharmacist 910 Diablo Ave, Novato, CA 94947 2008-10-17
1891983581 Shital Gandhi Radiology 500 Redwood Blvd Ste 300, Novato, CA 94947 2007-10-09
1356544126 Victoria Elizabeth Herzog Marriage & Family Therapist 1682 Novato Blvd, Suite 250a, Novato, CA 94947 2007-06-07
1912047655 Michael Craig Corder Chiropractor 1553 S Novato Blvd, A2 Corder Chiropractic Office, Novato, CA 94947 2007-02-08
1427106905 Jacob Kyle Leone Naturopath 1748 Novato Blvd, Suite 100, Novato, CA 94947 2007-01-08
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639579253 Robert Joseph Patocchi General Practice 10 Prestwick Ct, Novato, CA 94949-5841 2014-09-02
1265588511 David Edward Goodman General Practice 300 Professional Center Dr Ste 326, Novato, CA 94947-4334 2007-01-26

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Competitor

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City NOVATO
Zip Code 94947

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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