Individual
CHRISTOPHER JEFFREY FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1104A STONERIDGE MALL RD, PLEASANTON, CA 94588-3219
(925) 463-3521
Mailing address
2422 DELMER ST, OAKLAND, CA 94602-3017
(510) 530-1601
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14221
CA
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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