Individual
ALAN FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 S 1ST AVE, SUITE 101, ARCADIA, CA 91006-3607
(626) 447-7008
Mailing address
78 REHNBORG DR, BUENA PARK, CA 90621-8432
(562) 533-2060
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME123616
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2011
Last updated
09/08/2016
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