Individual
DR. BRYAN JUN FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24451 HEALTH CENTER DR, LAGUNA HILLS, CA 92653-3689
(949) 452-3545
Mailing address
PO BOX 10429, NEWPORT BEACH, CA 92658-0429
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A110784
CA
Other
Enumeration date
03/25/2009
Last updated
04/18/2012
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