=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154598530
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | D'ARCY A TONG MD INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/14/2008
-----------------------------------------------------
Last Update Date | 05/14/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4420 N 1ST ST STE 119
-----------------------------------------------------
City | FRESNO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93726-2331
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-222-4873
-----------------------------------------------------
Fax | 559-222-3024
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 5674
-----------------------------------------------------
City | FRESNO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93755-5674
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-222-4873
-----------------------------------------------------
Fax | 559-222-3024
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | D'ARCY A TONG
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 559-222-4873
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RE0101X
-----------------------------------------------------
Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
-----------------------------------------------------
License Number | C31484
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------