Individual
DR. DANIEL K FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5301 FREEPORT BLVD STE 200, SACRAMENTO, CA 95822-2701
(916) 451-4494
(916) 451-4229
Mailing address
5301 FREEPORT BLVD STE 200, SACRAMENTO, CA 95822-2701
(916) 451-4494
(916) 451-4229
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8718T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0087180
—
CA
Enumeration date
08/30/2006
Last updated
07/08/2007
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