Individual
DR. EMILY FONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD MMM
Contact information
Practice address
505 CITY PKWY W, ORANGE, CA 92868-2924
(949) 939-2885
Mailing address
222 VIA KORON, NEWPORT BEACH, CA 92663-4913
(949) 939-2885
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G42852
CA
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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