Individual
DR. BRIAN FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1372 9TH AVE, SAN FRANCISCO, CA 94122-2309
(415) 664-3600
Mailing address
1372 9TH AVE, SAN FRANCISCO, CA 94122-2309
(415) 664-3600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CA 7951T
CA
Other
Enumeration date
03/16/2007
Last updated
05/23/2019
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