Individual
MINCH K FONG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27800 MEDICAL CENTER RD, #304, MISSION VIEJO, CA 92691-6410
(949) 770-8168
(949) 770-2991
Mailing address
24953 PASEO DE VALENCIA, #25B, LAGUNA HILLS, CA 92653-4342
(949) 770-8168
(949) 770-2991
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G70910
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G709100
—
CA
Enumeration date
08/26/2005
Last updated
07/08/2007
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