Individual
ALICE L. FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(909) 353-2000
Mailing address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(909) 353-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G28676
CA
Other
Enumeration date
12/08/2006
Last updated
09/23/2008
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