Individual
DR. VERNON KENT FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
728 PACIFIC AVE STE 501, SAN FRANCISCO, CA 94133
(415) 398-5990
(415) 398-5976
Mailing address
728 PACIFIC AVE STE 501, SAN FRANCISCO, CA 94133-4449
(415) 398-5990
(415) 398-5976
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G43492
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G434921
—
CA
Enumeration date
07/13/2005
Last updated
10/08/2020
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