Individual
DR. DELLA JANG FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
625 SOUTH FAIR OAKS AVENUE, SUITE 255, SOUTH LOBBY, PASADENA, CA 91105
(626) 304-2626
(626) 585-0695
Mailing address
625 SOUTH FAIR OAKS AVENUE, SUITE 255, SOUTH LOBBY, PASADENA, CA 91105
(626) 304-2626
(626) 585-0695
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G79210
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G337270
—
CA
Enumeration date
06/27/2006
Last updated
12/29/2011
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