Organization
MINCH K. FONG M.D. INC.
Active
Parent organization
MINCH K. FONG M.D. INC.
Other names
Minch K. Fong M.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINCH K. FONG M.D. INC.
Authorized official
MS. EMINA WEAVER (BUSINESS MANAGER)
(949) 770-8168
Entity
Organization
Contact information
Practice address
26691 PLAZA, STE. 200, MISSION VIEJO, CA 92691-6329
(949) 347-0600
(949) 347-0746
Mailing address
24953 PASEO DE VALENCIA, #25 B, LAGUNA HILLS, CA 92653-4342
(949) 770-8168
(949) 770-2991
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G78910
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G789100
—
CA
Enumeration date
12/22/2009
Last updated
02/18/2020
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