Individual
DR. CHERYL LEE FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
441 N LAKEVIEW AVE, ANAHEIM, CA 92807-3028
(714) 279-4000
Mailing address
10391 PRATHER LN, TUSTIN, CA 92782-1437
(714) 402-3203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G077919
CA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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