Individual
YUMAN FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 775-3514
(626) 218-5310
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G130488
CA
2086X0206X
Surgical Oncology Physician
164241-1
NY
2086X0206X
Surgical Oncology Physician
Primary
G130488
CA
Other
Enumeration date
11/03/2005
Last updated
04/19/2022
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