Individual
ABIGAIL FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
209 FAIR OAKS AVE, SOUTH PASADENA, CA 91030-1814
(626) 396-2900
(626) 799-2889
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT225295
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A158420
CA
Other
Enumeration date
04/22/2016
Last updated
07/15/2024
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