Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | A91235 | CA |
NPI | 1306052667 |
---|---|
Provider Name | Dr. James En-Cheh Tong |
First Address | San Francisco, CA 94109-5568 |
Second Address | San Francisco, CA 94143-2208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 14/10/2021 |