Provider Demographics
NPI:1326077736
Name:FUNG, YING (MD)
Entity Type:Individual
Prefix:DR
First Name:YING
Middle Name:
Last Name:FUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2125 OAK GROVE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2536
Mailing Address - Country:US
Mailing Address - Phone:925-296-7150
Mailing Address - Fax:925-296-7171
Practice Address - Street 1:2125 OAK GROVE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2536
Practice Address - Country:US
Practice Address - Phone:925-296-7150
Practice Address - Fax:925-296-7171
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA676302085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A6763014Medicare PIN
CA00A6763022Medicare PIN
CA00A676306Medicare PIN
CA300110835Medicare PIN
CA00676308Medicare PIN
CAG98801Medicare UPIN
CA00A676308Medicare PIN
CA300124994Medicare PIN
CA00A6763011Medicare PIN
CA300124995Medicare PIN
CA00A6763012Medicare PIN
CA00A6763013Medicare PIN
CA00A6763016Medicare PIN
CA00A6763020Medicare PIN
CA00A6763010Medicare PIN
CA00A676301Medicare PIN
CA00A6763018Medicare PIN
CA00A676304Medicare PIN
CA00A6763017Medicare PIN
CA00A6763019Medicare PIN
CA00A676305Medicare PIN
CA00A676307Medicare PIN
CA00A6763015Medicare PIN
CA00A676302Medicare PIN
CA00A6763021Medicare PIN
CA00A676303Medicare PIN
CA00A676309Medicare PIN