Individual
DR. DENNIS YUNMING FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
108 LA CASA VIA, SUITE 104, WALNUT CREEK, CA 94598
(925) 934-2333
(925) 934-2688
Mailing address
108 LA CASA VIA, SUITE 104, WALNUT CREEK, CA 94598
(925) 934-2333
(925) 934-2688
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G82720
CA
207Q00000X
Family Medicine Physician
Primary
G83720
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G83720
CALIFORNIA LICENSE NUMBER
CA
Enumeration date
07/25/2006
Last updated
03/22/2017
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