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Individual
DR. TINA HUEY FONG
Active
Individual
DR. TINA HUEY FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7493
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13565
MEDICAL EYE SERVICES ID #
CA
01
—
207231
COLE & PEARL VISION ID #
CA
01
—
211137
EYEMED ID #
CA
05
—
GR0052200
—
CA
Enumeration date
02/28/2007
Last updated
07/09/2007
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