Individual
MRS. ELLIE M FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1198 PACIFIC COAST HWY STE 1, SEAL BEACH, CA 90740-6251
(562) 799-7071
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
18079
CA
Other
Enumeration date
12/15/2006
Last updated
02/23/2026
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