Individual
DENG FA FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 34TH ST, BAKERSFIELD, CA 93301-2107
(661) 322-2331
(661) 322-1484
Mailing address
3521 BRAE BURN DR, BAKERSFIELD, CA 93306-3646
(661) 342-2306
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A38973
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A389730
—
CA
Enumeration date
07/27/2006
Last updated
11/08/2019
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