SUSIE X FONG

ENCINO, CA
NPI1447549654
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RS0012X Internal Medicine, Sleep Medicine
(Licence: CA  A129474)
Additional Taxonomies207R00000X Internal Medicine
(Licence: CA  A129474)
Enumeration Date2011-03-29
Last Update Date2020-03-04
Business Address
SUSIE X FONG M.D.
15503 VENTURA BLVD STE 170
ENCINO, CA 91436
Phone number: 818-461-8148
Mailing Address
SUSIE X FONG M.D.
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: