Individual provider · Type 1 NPI
Henry Fung, DDS, FAGD, CAMD, LAC
General Practice Dentistry · Los Angeles, CA
NPI number
1104075175
Active
Practice location
5424 E Beverly Blvd
Los Angeles, CA 90022-2208
Fax (323) 721-8822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 30354 (CA) |
| Acupuncturist | 171100000X | AC1426 (CA) |
| General Practice Dentistry Primary | 1223G0001X | 30354 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1104075175
Henry Fung, DDS, FAGD, CAMD, LAC's National Provider Identifier is 1104075175, issued on Sep 15, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 4, 2024.