Edmond K Fung (NPI# 1093919466, PAC ID# 6204091648) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1093919466 |
| PAC ID by PECOS | 6204091648 |
| Professional Enrollment ID | I20120710000145 |
| Full Name | Edmond K Fung |
| Address |
1500 Tara Hills Dr Suite 104 Pinole CA 94564-2526 |
| Phone Number | 5107242360 |
| Gender | M |
| Medical School | UNIV OF THE PACIFIC DUGONI SCHOOL OF DENTISTRY |
| Graduation Year | 1994 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1500 Tara Hills Dr, Suite 104, Pinole, CA 94564-2526 | 5107242360 | |
| 1500 Tara Hills Dr, Pinole, CA 94564-2526 | 5107242360 |
| Street Address |
1500 TARA HILLS DR SUITE 104 |
| City | PINOLE |
| State | CA |
| Zip | 94564-2526 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachael Spradley | Family Medicine | Permanente Medical Group Inc | 1301 Pinole Valley Rd, Pinole, CA 94564-1384 |
| Jacqueline M Richter | Geriatric Medicine | Permanente Medical Group Inc | 1301 Pinole Valley Rd, Pinole, CA 94564-1384 |
| Faith Cheryle A Merino | Family Medicine | Permanente Medical Group Inc | 1301 Pinole Valley Rd, Pinole, CA 94564-1384 |
| Van T Ong | Internal Medicine | Permanente Medical Group Inc | 1301 Pinole Valley Rd, Pinole, CA 94564-1384 |
| Elizabeth A Ortega | Family Medicine | Permanente Medical Group Inc | 1301 Pinole Valley Rd, Pinole, CA 94564-1384 |
| Diana E Detwiler | Family Medicine | Permanente Medical Group Inc | 1301 Pinole Valley Rd, Pinole, CA 94564-1384 |
| David Alan Brandt | Internal Medicine | Permanente Medical Group Inc | 1301 Pinole Valley Rd, Pinole, CA 94564-1384 |
| Salaish K Sarin | Internal Medicine | Permanente Medical Group Inc | 1301 Pinole Valley Rd, Pinole, CA 94564-1384 |
| Alok Gupta | Family Medicine | Permanente Medical Group Inc | 1301 Pinole Valley Rd, Pinole, CA 94564-1384 |
| Sabrina Arora-thissen | Family Medicine | Permanente Medical Group Inc | 1301 Pinole Valley Rd, Pinole, CA 94564-1384 |
| Find all physicians in zip 94564 | |||
| City | PINOLE |
| Zip Code | 94564 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | PINOLE + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Edmond K Fung.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.