BRIAN MATTHEW FONG

CERRITOS, CA
NPI1427344522
Professional NameBRIAN MATTHEW FONG
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: CA  14146TLG)
Enumeration Date2011-06-27
Last Update Date2022-01-19
Business Address
BRIAN MATTHEW FONG
17100 NORWALK BLVD STE 107
CERRITOS, CA 90703-2750
Phone number: 562-402-1525
Mailing Address
BRIAN MATTHEW FONG
17100 NORWALK BLVD STE 107
CERRITOS, CA 90703-2750
Phone number: 562-402-1525
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