Individual
DR. DANIEL FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
10418 VALLEY BLVD STE B, EL MONTE, CA 91731-3600
(626) 453-8466
(626) 453-8465
Mailing address
10418 VALLEY BLVD STE B, EL MONTE, CA 91731-3600
(626) 453-8466
(626) 453-8465
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101021839
MI
207Q00000X
Family Medicine Physician
Primary
OP61094020
WA
Other
Enumeration date
06/25/2015
Last updated
03/04/2021
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