Individual
DR. CARLETON SCOTT FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
26750 TOWNE CENTRE DRIVE SUITE E, FOOTHILL RANCH, CA 92610
(949) 215-0505
(949) 916-0880
Mailing address
21 DARLINGTON, IRVINE, CA 92620-0222
(714) 679-0516
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10689T
CA
Other
Enumeration date
02/17/2006
Last updated
08/11/2008
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