Provider Demographics
NPI:1306926084
Name:TSING-TONG KWOK, M.D. INC
Entity type:Organization
Organization Name:TSING-TONG KWOK, M.D. INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TSING
Authorized Official - Middle Name:TONG
Authorized Official - Last Name:KWOK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-442-0855
Mailing Address - Street 1:540 E HERNDON AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2907
Mailing Address - Country:US
Mailing Address - Phone:559-442-0855
Mailing Address - Fax:559-442-0864
Practice Address - Street 1:540 E HERNDON AVE STE 102
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2907
Practice Address - Country:US
Practice Address - Phone:559-442-0855
Practice Address - Fax:559-442-0864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA31586207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty