Provider Demographics
NPI:1336474899
Name:FUNG, ANDREW HOK-CAY (DPT)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:HOK-CAY
Last Name:FUNG
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4785 BEACON HILL DR
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94552-3702
Mailing Address - Country:US
Mailing Address - Phone:310-413-0556
Mailing Address - Fax:
Practice Address - Street 1:150 PORTOLA RD
Practice Address - Street 2:SUITE B
Practice Address - City:PORTOLA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94028-7852
Practice Address - Country:US
Practice Address - Phone:650-275-7323
Practice Address - Fax:650-851-2356
Is Sole Proprietor?:No
Enumeration Date:2009-10-16
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35859225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist