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General NPI Number Information
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NPI Number | 1568523751
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Entity Type | Individual
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Provider Name | CHI-HUA MARIA FANG M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 1870 TICE VALLEY BLVD
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City | WALNUT CREEK
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State | CA
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Zip | 94595-2224
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Country | US
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Telephone | 925-299-9100
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Fax | 925-233-1023
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Provider Business Mailing Address
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Address Line | PO BOX 437
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City | WILLIAMSON
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State | GA
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Zip | 30292-0437
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Country | US
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Telephone | 510-505-1091
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Fax | 510-505-1111
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G67095
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License Number State | CA
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