Individual
CHRISTOPHER FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
455 W MONTANA ST, PASADENA, CA 91103-1327
(626) 993-1212
Mailing address
455 W MONTANA ST, PASADENA, CA 91103-1327
(626) 993-1212
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
52820
CA
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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