Healthcare Provider Details

I. General information

NPI: 1588595789
Provider Name (Legal Business Name): ERIC TUNG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7435 POTRERO AVE
EL CERRITO CA
94530-2017
US

IV. Provider business mailing address

7435 POTRERO AVE
EL CERRITO CA
94530-2017
US

V. Phone/Fax

Practice location:
  • Phone: 415-917-9088
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: