Individual
CHRISTOPHER FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
(818) 719-4353
Mailing address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
(818) 719-4353
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT12980
CA
Other
Enumeration date
07/25/2006
Last updated
12/01/2021
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