Individual
DR. DEREK G FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25825 VERMONT AVE, DEPARTMENT OF GASTROENTEROLOGY, HARBOR CITY, CA 90710-3518
(800) 780-1230
Mailing address
5958 OCEAN TERRACE DR, RANCHO PALOS VERDES, CA 90275-5757
(310) 427-7711
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
222058
MA
207RG0100X
Gastroenterology Physician
Primary
A77880
CA
Other
Enumeration date
04/02/2007
Last updated
11/18/2021
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