Healthcare Provider Details

I. General information

NPI: 1295100683
Provider Name (Legal Business Name): FELICITY NGA YING FUNG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2015
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3075 HEALTH CENTER DR STE 400
SAN DIEGO CA
92123-2773
US

IV. Provider business mailing address

7901 FROST ST
SAN DIEGO CA
92123-2701
US

V. Phone/Fax

Practice location:
  • Phone: 858-939-3831
  • Fax: 858-636-2901
Mailing address:
  • Phone: 858-939-3831
  • Fax: 858-636-2901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95002725
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number4329
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: