# LEO L FONG CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Valley Vein and Wound Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235609413
- **Authorized official:** ZACHARY SMITH (PHY. SVS. PROJECT MANAGER)
- **Authorized official phone:** (559) 721-4910

## Contact information

- **Practice address:** 3120 WILLOW AVE STE 101, CLOVIS, CA 93612-4714
- **Practice address phone:** (559) 721-4910
- **Mailing address:** PO BOX 5337, FRESNO, CA 93755-5337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2018
- **Last updated:** 04/13/2026
