Individual
NEIL FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 N 1ST ST, SAN JOSE, CA 95112-6312
(408) 299-0462
(408) 299-0469
Mailing address
800 N 1ST ST, SAN JOSE, CA 95112-6312
(408) 299-0462
(408) 299-0469
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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