| NPI Details | |
|---|---|
| NPI | 1285770529 |
| Enumeration Date | 01/30/2007 |
| Last Updated | 09/13/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | LIT K LIT |
| Position | PRESIDENT |
| Phone | (209) 572-4222 |
| Fax | (209) 572-4272 |
| Practice Location | |
|---|---|
| 1501 OAKDALE RD STE 218 MODESTO CA, 95355-3382, US |
|
| Phone | (209) 572-4222 |
| Fax | (209) 572-4272 |
| Business Location | |
|---|---|
| 1501 OAKDALE RD STE 218 MODESTO CA, 95355-3382, US |
|
| Phone | (209) 572-4222 |
| Fax | (209) 572-4272 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 208G00000X |
| License State | California |
| License Number | G59878 |
| Remove 1285770529 NPI Number | |
According to our database, Lit K. Fung, M.d., Inc., A Professional Medical Corporation NPI is 1285770529, taxonomy code is 208G00000X and license number is G59878, license state is located at California. Lit K. Fung, M.d., Inc., A Professional Medical Corporation physically located at 1501 Oakdale Rd Ste 218, Modesto CA, 95355-3382. NPI Number 1033115704 has the healthcare provider type.
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1285770529 NPI number is provided on an as is basis without warranty of any kind. 1285770529 is maintained by the National Plan & Provider Enumeration System. The contents of Lit K. Fung, M.d., Inc., A Professional Medical Corporation are for informational purposes only.
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