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NPI Code Detail

MEDICARE: CYNTHIA FONG

MEDICARE: CYNTHIA FONG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerASW 20374CA
2171M00000XCase Manager/Care CoordinatorASW 20374CA
31041C0700XClinical Social Worker26870CA

General Provider Information

NPI Number : 1194902270
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA FONG
Provider Business Mailing Address
First Line : 39899 BALENTINE DR STE 200
Second Line :
City : NEWARK
State : CA
Zip : 94560-5361
Country : US
Telephone Number : 888-983-1682
Fax Number :
Provider Business Practice Location Address
First Line : 2727 MACDONALD AVE
Second Line :
City : RICHMOND
State : CA
Zip : 94804-3006
Country : US
Telephone Number : 510-437-8950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2008
Last Update Date : 05/01/2025

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