Individual
KELLY KA-YEE FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4085
Mailing address
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE 'C', LOMA LINDA, CA 92354-2804
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A189948
CA
Other
Enumeration date
06/13/2022
Last updated
08/01/2025
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