Individual provider · NPI-1

Shirley Fong, MD

Obstetrics & Gynecology, Reproductive Endocrinology · Fontana, CA

NPI number1912935826

StatusActive

Last updated in NPPESNov 30, 2021

Details

NPI: 1912935826
Entity type: Individual (NPI-1)
Name: Shirley Fong
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Jun 29, 2006
Last updated: Nov 30, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207VE0102X	Obstetrics & Gynecology, Reproductive Endocrinology	A90666	CA	Yes
207VE0102X	Obstetrics & Gynecology, Reproductive Endocrinology	224420	NY
207VE0102X	Obstetrics & Gynecology, Reproductive Endocrinology	25MA07509000	NJ

Practice location

9985 Sierra Ave
Kaiser Permanente
Fontana, CA 92335-6720

Phone 909-427-5711

Mailing address

9985 Sierra Ave
Kaiser Permanente
Fontana, CA 92335-6720

Phone 909-427-5711

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