Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Camille Manyan Fung, MD

Individual provider Pediatrics Physician · NPI 1689627234

Dr. Camille Manyan Fung, MD is a Pediatrics Physician in Salt Lake City, Utah. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 N Medical Dr
Salt Lake City, UT 84113-1103
Phone: (801) 581-7052
Fax: (801) 585-7395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence A78222 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A78222 (CA)

Record details

NPI number1689627234
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESOctober 29, 2021
Certification dateOctober 29, 2021

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