Provider Demographics
NPI:1154598530
Name:D'ARCY A TONG MD INC
Entity type:Organization
Organization Name:D'ARCY A TONG MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:D'ARCY
Authorized Official - Middle Name:A
Authorized Official - Last Name:TONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-222-4873
Mailing Address - Street 1:PO BOX 5674
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93755-5674
Mailing Address - Country:US
Mailing Address - Phone:559-222-4873
Mailing Address - Fax:559-222-3024
Practice Address - Street 1:4420 N 1ST ST
Practice Address - Street 2:STE 119
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-2331
Practice Address - Country:US
Practice Address - Phone:559-222-4873
Practice Address - Fax:559-222-3024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC31484207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C314840Medicaid
CA00C314840Medicaid