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Contact Information

SHIRLEY FONG, MD
9985 SIERRA AVE
KAISER PERMANENTE
FONTANA, CA92335-6720
 Phone: 909-427-5711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Reproductive Endocrinology

207VE0102X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for SHIRLEY FONG · (Female)

NPI # 1912935826
Status Active
Credentials MD
Entity Individual
Enumeration date 06/29/2006
Last updated 11/30/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A90666
  • NJ License # 25MA07509000
  • NY License # 224420
  • NY Medicaid 2570574
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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