Individual
DR. DONALD S. FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-5806
(626) 851-1011
Mailing address
1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-5806
(626) 851-1011
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
DR.0057516
CO
207W00000X
Ophthalmology Physician
Primary
G72159
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000157969
—
CO
Enumeration date
11/13/2006
Last updated
10/18/2023
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