DEREK GONG, M.D.

Internal Medicine

Active Individual
NPI: 1184671513

Practice Address

16319 THIRD STREET
Santa Rosa, CA 95409

Phone: (707) 869-2849

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X Yes A66344 (CA)
Pediatrics 208000000X No A66344 (CA)

Frequently Asked Questions

NPI 1184671513 is the National Provider Identifier for DEREK GONG, M.D., a Internal Medicine provider located in Santa Rosa, CA. This NPI was enumerated on May 30, 2006.
DEREK GONG, M.D. practices at 16319 THIRD STREET, Santa Rosa, CA 95409.

Quick Facts

NPI
1184671513
Type
Individual
Enumerated
May 30, 2006
Last Updated
Nov 28, 2007

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