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NPI Code Detail

MEDICARE: MS. EMILY FUNG PA

MEDICARE: MS. EMILY FUNG PA
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
1363A00000XPhysician AssistantPA 17480CA

General Provider Information

NPI Number : 1720051329
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. EMILY FUNG PA
Provider Business Mailing Address
First Line : 909 HYDE ST STE 125
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-4832
Country : US
Telephone Number : 415-771-4366
Fax Number : 415-771-6412
Provider Business Practice Location Address
First Line : 909 HYDE ST STE 125
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-4832
Country : US
Telephone Number : 415-771-4366
Fax Number : 415-771-6412
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 05/29/2013

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1417964925 — MR. FRANK R MALIN M.D
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1477563831 — DRS MALIN, AUBRY, GORES ,WANG
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Directions to “ MS. EMILY FUNG PA” Practice Location

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